手術中止血帶使用有哪些注意事項?
手術中止血帶使用注意事項
Attention to the use of tourniquet during operation
1、使用止血帶前,認真檢查有否漏氣,止血儀是否靈活實用,否則要及時更換;
1, before using tourniquet, carefully check whether there is leakage, hemostatic instrument is flexible and practical, otherwise it should be replaced in time.
2、按肢體及年齡,準確選用止血帶(小、中、大號);
2, accurately choose tourniquet (small, medium and large) according to body and age.
3、無菌止血帶可由洗手護士在手術臺上協(xié)助主刀醫(yī)生捆扎,確保適宜的松緊度;
3, aseptic tourniquet can be assisted by the hand nurses on the operating table to assist the surgeon to tie up, so as to ensure the appropriate tightness.
4、捆扎止血帶前先用紗布或無菌巾纏繞保護肢體,并使其鋪平,防止受力不均勻,而引起水泡或瘀血發(fā)生;
4, before bandaging tourniquet, use a gauze or aseptic towel to twine around to protect the body and make it smooth, prevent uneven force, and cause blisters or blood stasis.
5、捆扎時松緊要適宜,以能容納一指為宜;
5, tightness should be suitable when strapping, so that one finger can be accommodated.
6、捆扎后要用紗布繃帶加固兩周,防止?jié)q開或脫滑;
6, after bandage, use gauze bandage to consolidate for two weeks, prevent from opening or sliding.
7、嚴格掌握止血帶的使用時限,單肢體第1次使用不超過90min,第2次使用不超過60min,2次間隔為5~10min。
7, strictly grasp the use time of tourniquet, the use of single limb first times not more than 90min, second times the use of not more than 60min, 2 interval of 5 to 10min.
8、驅(qū)趕血液時,要均勻持續(xù)用力,驅(qū)血帶環(huán)繞重疊大于或等于1/3,且由肢體遠端向近端逐漸驅(qū)趕血液至止血帶邊緣,充氣至所需KPA,以達到充分止血的目的。
8, when the blood is driven, it should be carried out evenly and continuously. The blood drive belt surround overlapping or equal to 1/3, and from the distal limb to the proximal end, the blood is gradually driven to the tourniquet edge and inflated to the required KPA for the purpose of sufficient hemostasis.