2021年施工现场急救措施.pdf

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1、资料收集于网络如有侵权请联系网站删除谢谢精品文档施 工 现 场 急 救 措 施一、外伤现场救护的五不原则一是不用手接触伤口；二是不用碘酒涂擦伤口；三是不随便冲洗伤口；四是不随便取出伤口异物；五不随便塞回脱出的内脏组织。二、伤救护的注意事项事故现场救护工作应按照先抢后救、先重后轻、先急后缓、先近后远的原则，分秒必争的实施，发现伤口要充分暴露，处理后仍将衣服盖上，防止受凉。对重伤员，除处理伤口外，必须观察其意识状态、脉搏呼吸等，并注意面色、手足温度。有呼吸、循环衰竭时，先行心肺复苏术，后处理局部伤口。三、外伤初步包扎再送医院及时正确的包扎能保护伤口，防止再感染。压迫止血，固定伤处，减轻疼痛。包扎时

2、动作应轻巧敏捷，部位准确，松紧适宜又牢靠不脱，打结应避开伤口。四、开放性气胸包扎胸部一侧穿通伤时，空气从伤口进入胸腔，造成开放性气胸，常可危及伤员性命。急救时应用消毒敷料或干净毛巾严堵住伤口，最好外盖一层塑料膜，再用三角巾加压包扎。伤员取半卧位，迅速送医院。五、腹部内脏脱出的包扎腹部穿通伤时，脏器可以从伤口脱出，最多见的是小肠脱出，此时不可以把脱出的内脏器官塞回腹腔，应用大块纱布覆盖内腔精品w o r d 学习资料 可编辑资料-精心整理-欢迎下载-第 1 页，共 12 页资料收集于网络如有侵权请联系网站删除谢谢精品文档（最好是消毒的凡士林纱布），外用大碗扣住，然后包扎固定。伤员应仰卧屈膝位，保

3、温、禁饮水。六、需固定的外伤及固定伤员出现以下征象应考虑有骨折，给以固定。1、伤肢剧烈疼痛，不能活动。2、局部肿胀，有明显压痛。3、肢体有畸形如弯曲、旋转、缩短等或有异常活动。4、伤口内看到骨头茬子（骨折片）更无疑是开放性骨折。骨折固定有特制的夹板，在事故现场，可就地取材。如木板、树枝、铁锹把等，必要时还可以把受伤的上肢固定在胸部，把受伤的下肢固定在健侧肢体上，绑带可用布条、腰带等。固定前有伤口的应先止血包扎后再固定，尽可能就地固定。需移动时应扶住伤肢，在医生到现场前不做正骨（不要自己乱捏）为防止固定器材伤皮肤，应在骨突处加垫，连同衣裤一起固定。搬运途中如遇伤肢发紫、发凉，表示伤肢血液循环不好

4、，应稍松绑扎。这种临时固定不仅可以减轻伤员的疼痛，而且可以防止骨折处造成的休克或神经、血管再损伤。骨折肢体的固定1、前臂骨折时用两块夹板分别放在前臂的掌、背侧，伤肢可用三角巾吊在胸前。2、上臂骨折时将夹板放在上臂外侧，用布带将骨折上、下端固定，在将上臂固定在胸前。3、小腿骨折时将夹板放在小腿外侧，用布带分段固定结打在精品w o r d 学习资料 可编辑资料-精心整理-欢迎下载-第 2 页，共 12 页文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5

5、 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6

6、ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文

7、档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3

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9、6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X

10、4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1

11、U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4资料收集于网络如有侵权请联系网站删除谢谢精品文档外侧，夹板长度应从大腿中部到脚跟。4、大腿骨折时，外侧夹板长度由腋窝到足跟，内侧夹板从腹股沟到足跟，用57 条布带固定，下肢骨折时内侧夹板可用健肢代替。七、骨折及急救的措施脊椎骨折决大多数是由间接暴力引起，如高处坠落，头、肩或足臀着地，身体重力受地面阻挡，使身体猛烈屈曲，以致颈椎或胸腰段交界处椎骨骨折，弯腰工作时：重物落下，打击头部，肩部或背部，也可使脊柱急剧屈曲产生同样损伤。胸腰部脊椎损伤时要用木板搬运病人

12、，将病人放在木板一侧，由 34 人分别托伤员的头、肩、臀、腿，动作一致，严禁伤处扭曲，若俯卧在肩及腹下各垫一衣卷，然后用几根布带把伤员缠在木板上固定。如颈椎受伤则有一人专管牵拉固定头部，使头与身体保持直线位置，伤员仰卧木板上不用枕头，颈下垫一布卷，两侧用衣物塞住，防止头部移动。八、手外伤的抢救首先是迅速脱离致伤原因。如手被卷入机器内应立即让马达停止转动，均匀倒转，然后检查伤员是否有休克，如有休克应立即抢救，疼痛严重时可用强力止痛药，出血较多时先加压包扎。出血不止可用止血带，创面用清洁敷料包扎，伤情严重立即转送医院。刺伤时如伤口不深，局部经冲洗后包扎，受到脏物刺伤的伤口应扩创引流后再包扎，如有异

13、物要及时取出，深刺伤最好精品w o r d 学习资料 可编辑资料-精心整理-欢迎下载-第 3 页，共 12 页文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X

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18、X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J

19、1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4资料收集于网络如有侵权请联系网站删除谢谢精品文档去医院处理。割切伤时如伤口不深，局部经冲洗后可用“一贴好：将伤口两侧拉合封住，创口大时，要缝合，切割较深可

20、能伤及肌腱、大血管、神经等组织，应及时送医院。挤压伤时手或手指外形变扁，指端苍白，不久可出现严重肿胀，处理时除指甲已完全脱落，不要轻易拔去，伤口经清洗后，可用凡士林纱布包扎，严重的开放性损伤应立即送医院。九、关节脱臼的处理脱臼又称脱位，是骨与骨之间组成的关节面脱离了正常的位置，因外力的作用而发生脱位称外伤性关节脱位。较常见的有肩关节脱位，肘关节脱位，绝大多数外伤性脱位都可以用手法复位，而且应当争取尽早复位。但复位前要确定有没有骨折，还要注意对周围肌肉肌腱等软组织的损伤也应认真处理。复位后要用绷带加以固定，当然不掌握手法复位的方法，还是自己不要乱拉乱推，以免造成复杂的损伤。十、肢体断离的现场处理

21、肢体断离主要是机械性损伤所致，发现伤员的肢体被机器卷入，应立即停止发动机的运转，把机器拆开，将伤员搬下来，如果肢体有一部分组织扎在机器的齿轮与转轴中，不应急噪的将组织割开或撕下，以免造成无法弥补的后果。此时要考虑病人的全身情况，注意有无休克或其它合并损伤，断肢的近侧端用清洁敷料加压包扎，最好不用止血带，要用止血带的至少每小时放松一次。对于大部断离的肢体，在运送前用夹板固定伤精品w o r d 学习资料 可编辑资料-精心整理-欢迎下载-第 4 页，共 12 页文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6

22、 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4

23、文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U

24、3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7

25、Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10

26、X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X

27、1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1

28、P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4资料收集于网络如有侵权请联系网站删除谢谢精品文档肢，用无菌巾或消毒单包起来以减少再感染。断肢能否再植成功与现场抢救运送密切相关，转运尽可能用最快的交通工具，断肢最好用消毒的敷料放置冰块，在运转的同时，应与有关单位进行联系，使医生事先做好准备，有利于抢救工作的进行。十一、烧伤病人的救护先懂判断烧伤的面积和深度，根据这方面确定烧伤的严重程度，面积估计：每一个手掌面积（包括并拢的五个手指再内）相当于全身面

29、积的 1%，烧伤深度为：1一度发红；2浅二度有大水泡,基底红；深二度有小水泡，基底有点出血；3三度为焦痂。综合烧伤面积和深度将烧伤分为：1、轻度（总面积在10%以下的二度伤）2、中度（总面积在1030%的二度伤或 10%以内的三度伤）3、重度（总面积在3150%的二度或三度伤在1120%或烧伤面积不到 30%而已休克，合并化学中毒，严重呼吸道烧伤）4、特重度（总烧伤面积在50%以上或三度在 20%以上）。轻的烧伤可在现场处理，原则是：一度烧伤保持创面清洁，减轻疼痛，可以涂烧伤药膏。浅二度烧伤要保护创面，防止感染，减轻疼痛，可用肥皂水或凉开水冲洗创面。小水泡不必刺破，大水泡局部消毒后用注射器抽去

30、泡液，然后用凡士林纱布覆盖创面，外用消毒敷料包扎。严重烧伤要转送医院，在转送前做好创面的初步处理，精品w o r d 学习资料 可编辑资料-精心整理-欢迎下载-第 5 页，共 12 页文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编

31、码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5

32、 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6

33、ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文

34、档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3

35、V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y

36、6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4资料收集于网络如有侵权请联系网站删除谢谢精品文档可用清水冲洗伤口（创面上不要涂刺

37、激性液体如酒精。更不要涂紫药水），然后用干净敷料包扎，伤员可用少量盐开水，有条件要静脉输液，用担架搬运，头放后面，上下楼梯时把头部放低，伤面过大时尽早用抗菌素，有条件应注射破伤风抗菌素 1500 单位（要先皮试）。十二、现场腹部外伤的处理腹部损伤分二大类：一类是闭合性损伤，一类是开放性损伤，闭合性腹部损伤：多是腹部受钝性暴力所造成，其特点是腹部与外界不相通，伤情与所受暴力大小有关，可以是单纯的腹壁损伤，也可以造成腹部内脏损伤或破裂，如肝脾破裂等，单纯的腹壁挫伤表现为受伤的部位皮肤肌肉疼痛，肌肉紧张，压痛也只局限在受伤的局部，腹壁的血管破裂会引起腹壁血肿，这种情况，局部只做冷敷或口服一些活血化瘀

38、的药物，经过休息，很快能恢复健康。如果腹部内脏出现了损伤，问题就复杂多了，最初腹部疼痛限于局部，全腹痛多不严重，为持续钝痛，逐渐扩大到全腹，腹部肌肉紧张，脉搏加快，血液下降，如果肾脏有损伤还会出现血尿，应立即送医院抢救。开放性腹部损伤：多是锐利器械穿入腹腔，使腹腔与外界相通，可能有肠管或大网膜脱出，严重时可以扎破腹腔内大血管造成死亡。遇到腹部外伤，特别是开放性腹部损伤都应立即送医院急诊治疗。腹部伤口一定要包扎，发现有肠管或大网膜脱出，千万不要自己把脏器放回腹腔，这样会造成严重的腹腔感染化脓，如果近处没有无菌纱布可以用防护帽或大碗等物品，将脱出肠管扣在腹壁上，精品w o r d 学习资料 可编辑

39、资料-精心整理-欢迎下载-第 6 页，共 12 页文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6

40、ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文

41、档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3

42、V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y

43、6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X

44、4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1

45、U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4资料收集于网络如有侵权请联系网站删除谢谢精品文档再用衣服等物品包上，立即送医院。要特别强调，有较大的金属或木质异物腹内请不要自行拔出，应送医院在手术台上处理。因为这些异物很可能已穿破肠管或大血管，堵塞着这些损伤的器

46、官，在没有充分手术准备、输血准备的情况下，拔出异物可能使肠内容物大量流出腹腔或出现大出血，伤员可能立即丧命。十三、挤压伤的现场救治人体，尤其是有肌肉的肌体受挤压，时间超过一小时，称为挤压伤，受伤的肢体出现苍白，温度低有麻木感，解除挤压后，局部出现肿胀，运动功能丧失，病人烦躁不安，严重是可出现休克。现场的救治：1、尽早除去外部积压因素；2、受伤肢体不能活动，最好用木板或适宜物品做临时夹板固定；3、受伤肢体用凉水降温，千万不能抬高患肢，更不能按摩或热敷伤肢；4、立即送医院做进一步治疗。十四、破伤风的预防破伤风是一种叫做破伤风杆菌的细菌侵入伤口，产生毒素，引起局部或全身肌肉群发生阵发性的痉挛抽搐的一

47、种特异性急性感染。受外伤，特别是伤口较深，污染较严重时，应特别警惕破伤风，首先对伤口清洗、消毒，把伤口内的脏东西，如木屑、泥土、棉花精品w o r d 学习资料 可编辑资料-精心整理-欢迎下载-第 7 页，共 12 页文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y

48、6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X

49、4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1

50、U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P7Y6 ZA2E8G2L10X4文档编码:CA1W3X1U3V5 HR3C2J1P