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止血带的急诊应用专家共识

2020-06-01 中国医师协会急诊医师分会 临床急诊杂志.2020.21(6):430-437.

止血带

由于日常的损伤种类较多、致伤机制差异大、使用者能力不同、创伤伤员转运机制不同等原因,以及担心出现使用中发生神经损伤、肢体缺血以及截肢等并发症问题,导致止血带在民用领域的使用存在一定争议。国内急诊和院前

中文标题：

止血带的急诊应用专家共识

发布机构：

中国医师协会急诊医师分会

发布日期：

2020-06-01

简要介绍：

由于日常的损伤种类较多、致伤机制差异大、使用者能力不同、创伤伤员转运机制不同等原因,以及担心出现使用中发生神经损伤、肢体缺血以及截肢等并发症问题,导致止血带在民用领域的使用存在一定争议。国内急诊和院前急救也出现由于止血带使用压力不够、绑扎位置错误等导致了出血增多,严重者甚至造成失血性休克以致死亡。为规范国内急诊外科临床以及院前急救诊疗行为,规范止血带的使用,参照国际国内的指南、规范以及文献,结合国内实际情况和急救医学特点,达成该共识,为急诊医生、院前急救者在创伤急救中规范使用止血带提供基本的指导。

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  1. [GetPortalCommentsPageByObjectIdResponse(id=2159823, encodeId=20342159823e4, content=特别好, beContent=null, objectType=guider, channel=null, level=null, likeNumber=15, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=e6868114929, createdName=ms5000000921000763, createdTime=Tue Sep 26 15:53:52 CST 2023, time=2023-09-26, status=1, ipAttribution=湖南省), GetPortalCommentsPageByObjectIdResponse(id=2125646, encodeId=577c21256468b, content=官方指导文件, beContent=null, objectType=guider, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a14e8444831, createdName=ms5000002116321165, createdTime=Thu Apr 13 11:11:23 CST 2023, time=2023-04-13, status=1, ipAttribution=陕西省), GetPortalCommentsPageByObjectIdResponse(id=973677, encodeId=007e9e36774b, content=积分10分, beContent=null, objectType=guider, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=2b1b5520302, createdName=willbeback, createdTime=Tue Jun 15 11:13:25 CST 2021, time=2021-06-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=973675, encodeId=df929e367529, content=好资料, beContent=null, objectType=guider, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=2b1b5520302, createdName=willbeback, createdTime=Tue Jun 15 11:12:24 CST 2021, time=2021-06-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=903531, encodeId=9da7903531a0, content=不错, beContent=null, objectType=guider, channel=null, level=null, likeNumber=82, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/TdLCMsv5LM0SN8xkLYWCZRuRRQINQXScNrn9HkkMEaWE0LPTiar3AObOYZpfGjy0sbzIMn4O7icLA0teIf5iayPKg/132, createdBy=c7e35241648, createdName=Andy7809, createdTime=Mon Nov 30 13:22:52 CST 2020, time=2020-11-30, status=1, ipAttribution=)]
    2023-09-26 ms5000000921000763 来自湖南省

    特别好

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=2159823, encodeId=20342159823e4, content=特别好, beContent=null, objectType=guider, channel=null, level=null, likeNumber=15, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=e6868114929, createdName=ms5000000921000763, createdTime=Tue Sep 26 15:53:52 CST 2023, time=2023-09-26, status=1, ipAttribution=湖南省), GetPortalCommentsPageByObjectIdResponse(id=2125646, encodeId=577c21256468b, content=官方指导文件, beContent=null, objectType=guider, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a14e8444831, createdName=ms5000002116321165, createdTime=Thu Apr 13 11:11:23 CST 2023, time=2023-04-13, status=1, ipAttribution=陕西省), GetPortalCommentsPageByObjectIdResponse(id=973677, encodeId=007e9e36774b, content=积分10分, beContent=null, objectType=guider, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=2b1b5520302, createdName=willbeback, createdTime=Tue Jun 15 11:13:25 CST 2021, time=2021-06-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=973675, encodeId=df929e367529, content=好资料, beContent=null, objectType=guider, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=2b1b5520302, createdName=willbeback, createdTime=Tue Jun 15 11:12:24 CST 2021, time=2021-06-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=903531, encodeId=9da7903531a0, content=不错, beContent=null, objectType=guider, channel=null, level=null, likeNumber=82, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/TdLCMsv5LM0SN8xkLYWCZRuRRQINQXScNrn9HkkMEaWE0LPTiar3AObOYZpfGjy0sbzIMn4O7icLA0teIf5iayPKg/132, createdBy=c7e35241648, createdName=Andy7809, createdTime=Mon Nov 30 13:22:52 CST 2020, time=2020-11-30, status=1, ipAttribution=)]
    2023-04-13 ms5000002116321165 来自陕西省

    官方指导文件

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=2159823, encodeId=20342159823e4, content=特别好, beContent=null, objectType=guider, channel=null, level=null, likeNumber=15, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=e6868114929, createdName=ms5000000921000763, createdTime=Tue Sep 26 15:53:52 CST 2023, time=2023-09-26, status=1, ipAttribution=湖南省), GetPortalCommentsPageByObjectIdResponse(id=2125646, encodeId=577c21256468b, content=官方指导文件, beContent=null, objectType=guider, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a14e8444831, createdName=ms5000002116321165, createdTime=Thu Apr 13 11:11:23 CST 2023, time=2023-04-13, status=1, ipAttribution=陕西省), GetPortalCommentsPageByObjectIdResponse(id=973677, encodeId=007e9e36774b, content=积分10分, beContent=null, objectType=guider, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=2b1b5520302, createdName=willbeback, createdTime=Tue Jun 15 11:13:25 CST 2021, time=2021-06-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=973675, encodeId=df929e367529, content=好资料, beContent=null, objectType=guider, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=2b1b5520302, createdName=willbeback, createdTime=Tue Jun 15 11:12:24 CST 2021, time=2021-06-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=903531, encodeId=9da7903531a0, content=不错, beContent=null, objectType=guider, channel=null, level=null, likeNumber=82, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/TdLCMsv5LM0SN8xkLYWCZRuRRQINQXScNrn9HkkMEaWE0LPTiar3AObOYZpfGjy0sbzIMn4O7icLA0teIf5iayPKg/132, createdBy=c7e35241648, createdName=Andy7809, createdTime=Mon Nov 30 13:22:52 CST 2020, time=2020-11-30, status=1, ipAttribution=)]
    2021-06-15 willbeback

    积分10分

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=2159823, encodeId=20342159823e4, content=特别好, beContent=null, objectType=guider, channel=null, level=null, likeNumber=15, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=e6868114929, createdName=ms5000000921000763, createdTime=Tue Sep 26 15:53:52 CST 2023, time=2023-09-26, status=1, ipAttribution=湖南省), GetPortalCommentsPageByObjectIdResponse(id=2125646, encodeId=577c21256468b, content=官方指导文件, beContent=null, objectType=guider, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a14e8444831, createdName=ms5000002116321165, createdTime=Thu Apr 13 11:11:23 CST 2023, time=2023-04-13, status=1, ipAttribution=陕西省), GetPortalCommentsPageByObjectIdResponse(id=973677, encodeId=007e9e36774b, content=积分10分, beContent=null, objectType=guider, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=2b1b5520302, createdName=willbeback, createdTime=Tue Jun 15 11:13:25 CST 2021, time=2021-06-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=973675, encodeId=df929e367529, content=好资料, beContent=null, objectType=guider, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=2b1b5520302, createdName=willbeback, createdTime=Tue Jun 15 11:12:24 CST 2021, time=2021-06-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=903531, encodeId=9da7903531a0, content=不错, beContent=null, objectType=guider, channel=null, level=null, likeNumber=82, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/TdLCMsv5LM0SN8xkLYWCZRuRRQINQXScNrn9HkkMEaWE0LPTiar3AObOYZpfGjy0sbzIMn4O7icLA0teIf5iayPKg/132, createdBy=c7e35241648, createdName=Andy7809, createdTime=Mon Nov 30 13:22:52 CST 2020, time=2020-11-30, status=1, ipAttribution=)]
    2021-06-15 willbeback

    好资料

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=2159823, encodeId=20342159823e4, content=特别好, beContent=null, objectType=guider, channel=null, level=null, likeNumber=15, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=e6868114929, createdName=ms5000000921000763, createdTime=Tue Sep 26 15:53:52 CST 2023, time=2023-09-26, status=1, ipAttribution=湖南省), GetPortalCommentsPageByObjectIdResponse(id=2125646, encodeId=577c21256468b, content=官方指导文件, beContent=null, objectType=guider, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a14e8444831, createdName=ms5000002116321165, createdTime=Thu Apr 13 11:11:23 CST 2023, time=2023-04-13, status=1, ipAttribution=陕西省), GetPortalCommentsPageByObjectIdResponse(id=973677, encodeId=007e9e36774b, content=积分10分, beContent=null, objectType=guider, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=2b1b5520302, createdName=willbeback, createdTime=Tue Jun 15 11:13:25 CST 2021, time=2021-06-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=973675, encodeId=df929e367529, content=好资料, beContent=null, objectType=guider, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=2b1b5520302, createdName=willbeback, createdTime=Tue Jun 15 11:12:24 CST 2021, time=2021-06-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=903531, encodeId=9da7903531a0, content=不错, beContent=null, objectType=guider, channel=null, level=null, likeNumber=82, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/TdLCMsv5LM0SN8xkLYWCZRuRRQINQXScNrn9HkkMEaWE0LPTiar3AObOYZpfGjy0sbzIMn4O7icLA0teIf5iayPKg/132, createdBy=c7e35241648, createdName=Andy7809, createdTime=Mon Nov 30 13:22:52 CST 2020, time=2020-11-30, status=1, ipAttribution=)]
    2020-11-30 Andy7809

    不错

    0

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