摘要
应用止血带有利于控制动脉损伤出血,并在手术中提供清晰的手术视野;但止血带的使用有很多注意事项及禁忌证,止血带使用不当还会引起疼痛、肌肉损伤、麻痹、血栓、筋膜间隙综合征等并发症,甚至出现导致多脏器功能障碍、心跳骤停等严重问题。究竟止血带的应用存在哪些可能的损伤?在急救时或手术中使用止血带,其应用的原则如何?其使用的压力、时间有怎样的约束?目前尚存在争议。本文就不同情形下止血带使用的原则及方法、止血带损伤进行了综述,并提出了今后对止血带研究的建议。
There are some disputes on the use and effects of tourniquet .On one hand,tourniquet helps a lot to control the bleeding of artery injury ,and provides a clear surgical field during surgery;on the other hand ,tour-niquet can cause pain ,muscle damage,paralysis,thrombus,compartment syndrome and other complications ,and even leads to multiple organ dysfunction,cardiac arrest and so on.In this paper,we discussed the principles,the right pressure and time control of tourniquet use ,as well as the pathophysiological changes of the tourniquet-related inju-ries and other aspects of tourniquet use .At last we made recommendations for future research on the tourniquet .
出处
《创伤外科杂志》
2014年第6期557-560,共4页
Journal of Traumatic Surgery
关键词
创伤
止血带
压力
trauma
tourniquet
pressure
