Tourniquet Hemostasis

Thaum lwm txoj hauv kev ntawm hemostasis tsis zoo rau kev los ntshav los ntawm cov hlab ntsha loj thiab qis qis, ib qho tourniquet tuaj yeem siv los txo cov ntshav. Muaj ob hom tourniquets: roj hmab thiab ntaub. Hauv kev kho mob xwm txheej ceev, koj tuaj yeem siv cov ntaub ntawv hauv zos xws li cov tawv tawv dav, cov ntaub qhwv peb sab lossis cov phuam so.
(1) Cov Lus Qhia: Txij li kev siv lub tourniquet tuaj yeem ua rau lub cev tsis taus, cov lus qhia yuav tsum nruj me ntsis tswj. Thaum siv lub tourniquet, lub siab yuav tsum tsim nyog, thiab yuav tsum tsis pub tshaj 300 mmHg rau cov ceg tawv thiab 600 mmHg rau cov ceg qis. Yog hais tias nws yog ib qho yooj yim tourniquet thiab lub siab ntsuas tsis tau, nws tsuas yog siv tau kom txog thaum lub qhov txhab tsis los ntshav thiab lub distal limb arterial pulsation tsuas yog untouchable.
(2) Kev ceev faj: ① Lub tourniquet tsis tuaj yeem muab qhwv ncaj qha rau ntawm daim tawv nqaij, tab sis yuav tsum tau muab tso rau ntawm daim lev tiaj tiaj ua los ntawm phuam, daim duab peb sab, thiab lwm yam; ② Lub tourniquet yuav tsum tau muab tso rau ze ntawm lub qhov txhab ntawm qhov kawg ntawm qhov txhab; ③ Txhawm rau kom tsis txhob muaj kev puas tsuaj rau cov hlab ntsha nrog lub tourniquet, lub caj dab sab saud yuav tsum tau muab khi rau saum 1/3, thiab cov ceg qis yuav tsum tau khi ntawm nruab nrab ntawm tus ncej puab; ④ Txhawm rau tiv thaiv ischemic necrosis ntawm lub caj dab distal, nyob rau hauv ib qho xwm txheej, lub tourniquet yuav tsum tsis txhob siv rau ntau tshaj 2 mus rau 3 teev, thiab nws yuav tsum tau so txhua 40 mus rau 50 feeb kom rov ua kom cov ntshav ntws mus rau qhov kawg ntawm ceg; ⑤ Tom qab siv lub tourniquet, nws yuav tsum tau cim thiab lub sijhawm yuav tsum tau sau tseg; ⑥ Nco ntsoov tias nws yog nruj me ntsis txwv tsis pub siv hlau hlau, hluav taws xob hlau, hlua, thiab lwm yam. es tsis txhob siv lub tourniquet.
Thaum siv cov roj hmab tourniquet, tuav ib qho kawg ntawm lub tourniquet nrog tus ntiv tes xoo, ntiv tes taw thiab ntiv tes nruab nrab ntawm koj sab laug tes, tuav lub tourniquet nrog koj sab tes xis thiab qhwv nws nyob ib ncig ntawm tus ceg li ob lub lis piam, tom qab ntawd muab qhov kawg ntawm lub tourniquet. nruab nrab ntawm tus ntiv tes taw thiab ntiv tes nruab nrab ntawm koj sab tes laug, tuav lub tourniquet nrog tus ntiv tes taw thiab ntiv tes nruab nrab, thiab rub nws tawm kom ruaj ntseg; Thaum siv ib daim ntaub los yog lwm yam ntaub ntawv hloov, thawj qhwv daim ntaub strip loosely nyob ib ncig ntawm lub caj dab thiab khi ib tug knot, ces hla ib tug luv luv ntoo stick nyob rau hauv lub knot, ceev cov ntoo stick, thiab tig nws nyob rau hauv ib qho kev taw qhia los qhwv daim ntaub strip. nruj nreem nyob ib ncig ntawm lub caj dab kom txog thaum lub qhov txhab tso tseg los ntshav.