急救包扎医疗课件PPT文件格式下载.pptx

1、,创伤急救止血,（五）手部出血止血（指压法）,用于手掌、手腕出血双手拇指分别在腕横纹 上方肌腱两侧动脉搏动出 垂直压迫。,创伤急救止血,（六）手指出血止血（指压法）,用于手指出血两手指分别压迫指根 部两侧,创伤急救止血,加压包扎止血法,用绷带和敷料等直接压迫 包扎出血部位而达到止血。,创伤急救止血,创伤急救止血,加压包扎止血法操作要点：检查伤口有无异物用足够厚的敷料覆盖伤口，敷料要超过伤口至少3cm。,02,包扎,四要 动作要快 部位要准 动作要轻 包扎要牢,四不要不上药不触摸伤口不取不送,注意事项,伤口异物处理:不拔除（不取）固定异物并包扎,创伤急救包扎,内脏脱出处理:（不送）,1、盖敷料,

2、2、加圈、盖碗,3、盖三角巾,4、腹部包扎,角要拉紧、边要贴实任何包扎前要加敷料包扎要打方结,三角巾包扎法,覆盖伤口,用一些相对干净、柔软、吸水性强的敷料将伤口盖住，并进行适当固定。,*1、头部包扎法,底边外翻2指宽,齐眉露耳,三角并两角,枕后交叉额前打结,2、单眼包扎法,三角巾折成三指宽一个固定三个折:上1/3处盖伤眼患侧耳下一个折健康眼上面一个折，健康耳下一个折（在健眼上 方前额反折，转向伤侧耳上 打结。）,*3、双眼包扎法,三角巾折三指宽枕后向前鼻梁上交叉枕下部固定打结,4、单肩包扎法,一底角放对侧腋下顶角盖住后肩部系带绕处上臂三角肌一底角上翻对侧腋下打结,*6、单胸包扎法,侧胸部伤包扎

3、法：伤在右胸，就将三角 巾的顶角放在右肩上，然后把左右底角 从两腋窝拉过到背后（左边要长一些）打结。再把顶角拉过肩部与双底角结系 在一起。或利用顶角小带与其打结。如 果是左胸，就把顶角放在左肩上。使用 在左背和右背也和胸部一样，不过其结 应打在胸前,胸部不同的包扎方式,八、上肢骨折悬吊法,顶角对向伤肢的肘部。三角巾的一底角放在对侧的肩上伤肢的肘部屈曲，另一侧底角包绕前臂后放在伤 侧的肩上两底角的颈后打结。肘后处理,上肢骨折悬吊法,*11、膝（肘）部包扎,对折再对折内短外长上加压、下加压外侧打结,12、手掌、足部包扎法,三角巾一折二，中 指、足尖对准顶角，顶角上翻盖住手 背，两角在手背交 叉，围

4、绕腕关节，在手背打结。,十二、手、足包扎法,1、三角巾对折，手指尖对向顶角手掌平放在三角巾的中 央，2、指缝间插入敷料，将顶角折回盖于手背3、两底角分别围绕到手背，4、再在腕部围绕一圈后打结,手、足包扎法,绷带包扎法,绷带包扎法注意事项,患肢包扎须在功能位置。一般应自内而外，并自远心端向躯干包扎。包扎开 始时，须作两环形包扎，以固定绷带。包扎时每周的压力要均等，且不可太轻，以免脱落。亦不可太紧，以免发生循环障碍。戒指、金链镯及手表项链等于包扎前除去。在没有绷带而必须急救的情况下，可用毛巾、手帕、床单（撕成窄条），长筒尼龙袜子等代替绷带 包扎。,绷带包扎法,（1）滚动条绷带展开之 一端为带端，另

5、一 端为滚动条，包扎 时右手紧握滚动条，左手提带端，绷带外 面贴附患者包扎部位。,绷带包扎法,（2）包扎时先固定绷带，（A）使带端斜置包扎 部位之下方，把绷带环扎，（B）将斜出之一 角露出，（C）再把斜出部份下折，（D）环 扎二至三圈。,绷带包扎法,（3）包扎完毕可用下列方法固定：,A.B.C,用胶布或安全别针固定之。以绷带留适当长度剪开。再打平结。,绷带包扎法,（4）包扎完毕固定时须注意：不可在受伤面或炎症部位打结。不可在关节面或骨突处打结。不可在受压部位或肢体内侧打结。不可在常磨擦处打结。,几种基本绷带包扎法,A.环状包扎法：用于定带（固定）或结带（结束），及包扎粗细相同部位。,几种基本绷

6、带包扎法,B.螺旋包扎法：用于粗细相同肢体。,几种基本绷带包扎法,C.疏松螺旋包扎法：如绷带长度不够时可用。,几种基本绷带包扎法,螺旋回返法：用于细长或粗细不同肢体,D.。,几种基本绷带包扎法,E.8字形包扎法：多用于固定关节敷料。,几种基本绷带包扎法,F.人字形包扎法：多用于包扎手掌、足掌部位,。,谢谢,01,03,这里可以是标题02,ADD TITLE HEREA designer can use default text to simulate what text would look like.,ADD TITLE HEREA designer can use default text

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