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止血帶充氣前應先抬高肢體,驅血帶驅血徹底后,再將止血帶的通氣管接于壓氣表上,緩慢將氣打入止血帶內。上肢壓力成人不超過40.0kPa(300mmHg),小兒不超過26.7kPa(200mmHg),下肢壓力成人不超過80kPa(600mmHg),小兒不超過33.3kPa(250mmHg)。 Before the tourniquet is inflated, should raise the limb first, drive the blood to drive the blood to drive the blood thoroughly, then the ventilator tube of the tourniquet will be connected to the pressure gas watch, slowly turn the gas into the tourniquet. No more than 40.0 kPa (300mmHg), no more than 26.7 kPa (200mmHg), no more than 80kPa (600mmHg) and no more than 33.3 kPa (250mmHg). 準確記錄氣壓止血帶充氣時間,上肢以1h,下肢以1.5h為限,時間到時,需提前通知手術醫生做好放氣準備,如需繼續使用,應先放氣5~10min后再充氣并重新記錄時間。 Accurate records pneumatic tourniquet aeration time, upper limbs to 1 h, lower limb is limited to 1.5 h, time, then need to inform the surgeon prepared to deflate, if you want to continue to use, should be deflated inflatable again after 5 ~ 10 min and recording time again. 松止血帶時,放氣要緩慢,以免血壓急劇下降引起休克。手術完畢去除止血帶后,檢查病人皮膚有無損傷,必要時局部按摩數分鐘。 When the band is loose, the air should be released slowly, so as not to cause shock with a precipitous drop in blood pressure. After surgical removal of the tourniquet, check the patient's skin for damage and massage for several minutes if necessary. 止血帶的使用誤區 Myth of the use of tourniquet 1 手術臺上捆扎的誤區 The mistake of strapping on the operating table (1)肱骨及股骨中下段手術中,為減少出血,往往需要無菌止血帶,由主刀醫生在手術臺上捆扎,因而致使止血帶的松緊度沒有保證,充氣量也無法確定,造成出血,甚至纜接地箱 隔離墩模具 保定電動門 銅獅子 u型槽模具 SMT貼片焊接 收費島模具 水泥井模具出現皮膚壞死及神經麻痹等并發癥; (1) the humerus and femur in the middle period of operation, in order to reduce bleeding, and often require aseptic tourniquet, by the surgeon on the operating table strapping, thus causing a tourniquet firmness not guaranteed, your also not sure, cause bleeding, appear even skin necrosis and complications such as nerve palsy; (2)驅趕血液時,驅血帶每周圈間都留有大小不等的距離,形成間斷驅血,效果極差; (2) when the blood is expelled, the circulation of the blood drive is not equal to the size of the circle. (3)驅血時用力不勻,一繞一緩,不能持續用力,止血效果差; (3) when the blood pressure is not uniform, it can not be sustained and the effect is poor. (4)肱骨中段手術中,為減少出血,使用小兒無菌止血帶止血,因氣囊短而窄,達不到壓迫止血的目的,反而出血更多。 (4) the humerus middle in the operation, in order to reduce bleeding, use sterile tourniquets, pediatric for airbag short, narrow and reach the purpose of oppression hemostasis, instead more bleeding.