手術(shù)中止血帶使用有哪些注意事項(xiàng)？
手術(shù)中止血帶使用注意事項(xiàng)
Attention to the use of tourniquet during operation
1、使用止血帶前，認(rèn)真檢查有否漏氣，止血儀是否靈活實(shí)用，否則要及時(shí)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(zhǔn)確選用止血帶（小、中、大號(hào)）；
2, accurately choose tourniquet (small, medium and large) according to body and age.
3、無菌止血帶可由洗手護(hù)士在手術(shù)臺(tái)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(hù)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(shí)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(yán)格掌握止血帶的使用時(shí)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(shí)，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(yuǎn)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(dá)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.