2.包扎
包扎可以固定住止血敷料,保护开放伤口,防止感染。常用的包扎材料有绷带、三角巾以及就近取材,如洁净的床单、窗帘、毛巾、围巾、衣服等布类。伤口包扎应注意以下事项:
1 包扎材料尽量洁净、无菌,避免伤口感染。
2 应先对伤口进行妥善处理,再进行包扎。
3 包扎松紧适度,以固定住敷料且不影响血液循环为度。
4 包扎四肢由内至外、由上至下,露出肢体末端,以便观察血液循环。
5 绷带起始端及末端重复两圈固定,收尾于肢体外侧。
6 包扎动作要迅速、敏捷、谨慎,不要碰撞、污染伤口。
绷带包扎法
螺旋包扎法
此法主要用于包扎四肢。加压止血后,从放置敷料的下方开始,先环形包扎两圈,然后自下而上、由内向外缠绕,每一圈盖住前一圈2/3,直至敷料被完全盖住,最后再环形缠绕两圈即可。
![](https://epubservercos.yuewen.com/B50706/16938423505141606/epubprivate/OEBPS/Images/figure_0063_0001.jpg?sign=1739633979-1ln5lfHUNRkrXQoVEWTPc3O24lXHVK1j-0-6e7203afe85534f8245d1192bfb45fbc)
“8”字形包扎法
此法主要用于包扎手部、足部、踝、肩、髋关节等部位。绷带基本可以顺势走行、包扎。以手部、足部为例,先将绷带做环形的固定,然后一圈向上、一圈向下包扎,每一圈在正面和前一圈相交,并压盖前一圈的1/2或2/3,最后再做环形固定即可。手指、脚趾若无创伤应露在外面,以便观察有无发紫、水肿等末梢血液循环不良的情况。
![](https://epubservercos.yuewen.com/B50706/16938423505141606/epubprivate/OEBPS/Images/figure_0064_0001.jpg?sign=1739633979-KgodTmzlChZb7jJO9C2wO1QBDW5y1p2I-0-aa00520bd5ad01fd6cd34d5637737051)
“人”字形包扎法
此法主要用于包扎肘部、膝关节部位。加压止血后,将肘部、膝关节弯曲至90°,绷带放在肘部、膝关节中央,环形缠绕一圈以固定敷料,再由内向外做“人”字缠绕,每一圈遮盖前一圈的2/3,缠完3个“人”字后,环绕一圈固定即可。
![](https://epubservercos.yuewen.com/B50706/16938423505141606/epubprivate/OEBPS/Images/figure_0064_0002.jpg?sign=1739633979-0Je166kadLMLfuF7xrGC9FrMAcdy3HCS-0-8bd071dab78f7accbc811c34b7376b5b)
回折包扎法
此法主要用于头部及肢体残端的包扎。以伤口在头顶部为例,先围绕额头环形包扎两圈,然后在额头前端中央按住绷带,将绷带拉向后方,再从后面按住绷带,将绷带拉向前方,如此左右来回反折,直至将敷料完全覆盖,最后再进行两圈环形包扎,以压住所有的返折处。
![](https://epubservercos.yuewen.com/B50706/16938423505141606/epubprivate/OEBPS/Images/figure_0065_0001.jpg?sign=1739633979-qPQcKZK064qPrptSuDSOiSDIqek5RBmc-0-f74111661ee6a734189176b236b2e74c)
三角巾包扎法
三角巾可在药店购买到,呈一顶角为90°的等腰三角形,顶角和一侧底角各有一根用于包扎的带子(顶角带、底角带),其底边长136厘米,两侧边长96厘米,顶角带长45厘米。三角巾可以根据不同需要折叠成不同宽度的条带状,或者折叠成燕尾巾。
在紧急情况下可将一块边长为1米左右的正方形纯棉布料沿对角线剪开,即成为两块三角巾,还可以用围巾等长条状物品临时代替。
![](https://epubservercos.yuewen.com/B50706/16938423505141606/epubprivate/OEBPS/Images/figure_0065_0002.jpg?sign=1739633979-ylHm651tl1GKnnZZIE8a0NYqkBCnfmrn-0-cf5e2eb6d49c2ef7267e05a9dea8d821)
头部包扎法
1 摘掉伤者的眼镜、头饰,止血后在伤口放置敷料。将三角巾底边朝前,折叠起两横指宽,放在伤者前额齐眉处。
![](https://epubservercos.yuewen.com/B50706/16938423505141606/epubprivate/OEBPS/Images/figure_0066_0001.jpg?sign=1739633979-OQ1L6ji9sAIMZ7c82heQrWOH0Wk0IOdz-0-1d5c812fbe5e2323e47bc9da57b47650)
2 将三角巾的两侧底角经耳后上方往后收,在枕部交叉。
![](https://epubservercos.yuewen.com/B50706/16938423505141606/epubprivate/OEBPS/Images/figure_0066_0002.jpg?sign=1739633979-dntwA2jtJ8BM4ZEun91nz0e3wBHnXoo7-0-f36ead5e26842ac2001470f2137b5f9e)
3 交叉后再绕到前额,在眉毛上方打结,然后拉紧顶角,将其折叠并塞入两底角交叉处。
![](https://epubservercos.yuewen.com/B50706/16938423505141606/epubprivate/OEBPS/Images/figure_0066_0003.jpg?sign=1739633979-iUvZLiCg8NO69UWH3vCztulJguIiZIqR-0-4eb8243bbfba96f5b64128f33df36983)
眼部包扎法
单眼包扎
1 将三角巾折叠成3~4指宽的条带状,以45°角斜放在伤侧眼部。
![](https://epubservercos.yuewen.com/B50706/16938423505141606/epubprivate/OEBPS/Images/figure_0067_0001.jpg?sign=1739633979-08MhsGbpCmNRLBwkS0K1FhhPmjtX389v-0-935214d4d83b2570c94c87f035648eb0)
2 条带的一侧从伤眼一侧的耳下绕到头后部,经另一侧耳上放绕至前额,并压住三角巾的另一端。
![](https://epubservercos.yuewen.com/B50706/16938423505141606/epubprivate/OEBPS/Images/figure_0067_0002.jpg?sign=1739633979-HwV42tUlbnGpJSIjZPG4BwQQYBOYkfgp-0-ce3a00d96585e47ecbbd44d97ffc8081)
3 将三角巾的另一侧在健侧眉毛上方向外反折,向后绕一圈至伤侧耳处打结即可。
![](https://epubservercos.yuewen.com/B50706/16938423505141606/epubprivate/OEBPS/Images/figure_0067_0003.jpg?sign=1739633979-ILELJPzaFuYOJl4ZetdKjUjELlw3Gg0r-0-2e1dda80c8b2da5067cea2c92cfeb7fb)
双眼包扎
1 救助者站在伤者身后,将三角巾折叠成3~4指宽的条带状,条带中点放在枕部下方。
![](https://epubservercos.yuewen.com/B50706/16938423505141606/epubprivate/OEBPS/Images/figure_0067_0004.jpg?sign=1739633979-rbh2PwCBMkhiz8HAz2hLsCyQvplUJWpw-0-2927487e686e924a04086644b234083a)
2 将条带两端分别从两侧耳下绕至两眼部在额前交叉,包住双眼。
![](https://epubservercos.yuewen.com/B50706/16938423505141606/epubprivate/OEBPS/Images/figure_0067_0005.jpg?sign=1739633979-cgwOzuPvXPjrNeefAa8GKX4kHdMqxdtP-0-3b4d3004a402dff401925f7263502088)
3 两端再分别经两耳上方拉向枕部打结。
![](https://epubservercos.yuewen.com/B50706/16938423505141606/epubprivate/OEBPS/Images/figure_0068_0001.jpg?sign=1739633979-R7uojuL2LRAcMyM6Eo7w9TmzfdW2ZCJS-0-0caeeac1160c7b23f28732e97a578919)
颈部包扎法
1 先用敷料覆盖伤口,再用一圈绷带压迫伤口。
![](https://epubservercos.yuewen.com/B50706/16938423505141606/epubprivate/OEBPS/Images/figure_0068_0002.jpg?sign=1739633979-6ZBkNTGSv72rCh1lTufIIw39Nq4ElYIy-0-e34e851361540d2463889c94a057fffa)
2 让伤者抬起伤口对侧的手臂,用折叠成条带状的三角巾覆盖住伤口上的纱布,绕到举起的手臂下方打结。
![](https://epubservercos.yuewen.com/B50706/16938423505141606/epubprivate/OEBPS/Images/figure_0068_0003.jpg?sign=1739633979-91bbB4ZE7AdjGnNQcU4tNa6izBtFWM9j-0-440eb0c9b7134aca2ee1682e885c50ea)
肩部包扎法
1 救助者站在伤者的一侧,将三角巾从中间对折成燕尾状。
![](https://epubservercos.yuewen.com/B50706/16938423505141606/epubprivate/OEBPS/Images/figure_0068_0004.jpg?sign=1739633979-AN5iFSsYTW165PWrwYeKkax8AFMqNkOY-0-c494b434a68519a9f9e70108294059b4)
2 将燕尾巾的中间对准伤者颈部侧面的正中,使两燕尾分别覆盖在受伤侧肩上。
![](https://epubservercos.yuewen.com/B50706/16938423505141606/epubprivate/OEBPS/Images/figure_0068_0005.jpg?sign=1739633979-kmX3S11h9KOir6IE5tKrxvu84ozJ5nhc-0-c17316bf43d4161ad2b184e46b315fbe)
3 两侧燕尾角由腋下从前向后包裹住受伤侧肩部,从对侧肩腋下拉至后方与底角相遇打结。
![](https://epubservercos.yuewen.com/B50706/16938423505141606/epubprivate/OEBPS/Images/figure_0069_0001.jpg?sign=1739633979-NWEFHUiH94L3XjP2rN06wG4iKdCJDhPu-0-d1d8191285d9b194e6b3c6e5b0db2396)
胸背包扎法
1 救助者面对伤者,将三角巾折叠成燕尾状,放在伤者胸前下方,燕尾夹角正对体前正中线。
![](https://epubservercos.yuewen.com/B50706/16938423505141606/epubprivate/OEBPS/Images/figure_0069_0002.jpg?sign=1739633979-9Qgk7B27Z8tXb1fXu4CvLVlRlEcxTEc4-0-cf11f9db92a14f5968719335de4feb8e)
2 将燕尾底角与顶角带在身侧相连打结,固定住燕尾巾。
![](https://epubservercos.yuewen.com/B50706/16938423505141606/epubprivate/OEBPS/Images/figure_0069_0003.jpg?sign=1739633979-euN93NnAeazwv0wZ9ZcJmjW2R7o1ggNX-0-a6092627bbf02e68899798a0af429b9a)
3 把两燕尾角向上翻起,分别覆盖两侧肩部至背部。
![](https://epubservercos.yuewen.com/B50706/16938423505141606/epubprivate/OEBPS/Images/figure_0069_0004.jpg?sign=1739633979-5sL5AZsr5hmNeiz63yqJYUNb7Wu49omQ-0-f3b7c2be1c5a422fe763d2a75a9f7ab0)
4 救助者到伤者背后,将两侧燕尾底角拉紧,带有底角带的一侧从横带下方穿过,再将底角带上提与另一侧燕尾角打结。
![](https://epubservercos.yuewen.com/B50706/16938423505141606/epubprivate/OEBPS/Images/figure_0070_0001.jpg?sign=1739633979-2qTByEzMIYxUtKAGBeqwJYbch5NoUNy3-0-1f9c5e068acf554fd70eaf7dd9795b9f)
腹部包扎法
1 将三角巾折叠成燕尾状,使两燕尾角一大一小。
![](https://epubservercos.yuewen.com/B50706/16938423505141606/epubprivate/OEBPS/Images/figure_0070_0002.jpg?sign=1739633979-bNlRNyBt6vhcju9R0OW9QF2UJabuxA1h-0-7d74a4f3b56a59f648e819d1e0733170)
2 三角巾夹角对准伤侧裤缝,大片燕尾遮盖腹部,小片燕尾遮盖臀部。
![](https://epubservercos.yuewen.com/B50706/16938423505141606/epubprivate/OEBPS/Images/figure_0070_0003.jpg?sign=1739633979-jLkLuLxJGDzuguKbEkSMWsPjo2KeRTFj-0-ebaaac3733d14929e3a2f8c9df5e858b)
3 燕尾底角与顶角带在身侧相连打结,固定住燕尾巾。
![](https://epubservercos.yuewen.com/B50706/16938423505141606/epubprivate/OEBPS/Images/figure_0070_0004.jpg?sign=1739633979-4co8TufFUcUg3SeN5DVRFDphUrExHrMc-0-d2c17b21a492518a7a50d28249731194)
4 拉住两侧燕尾,在大腿之间相遇打结。
![](https://epubservercos.yuewen.com/B50706/16938423505141606/epubprivate/OEBPS/Images/figure_0071_0001.jpg?sign=1739633979-ZuRfuLZio6WMExEV6anpOp6DIbwQ0GqU-0-d36a5cef7ac8cbb2b4151eed21c87dfc)
臀部包扎法
1 抢救者站在伤者背后,将三角巾底边向上,顶角向下,覆盖臀部,底边齐腰。
![](https://epubservercos.yuewen.com/B50706/16938423505141606/epubprivate/OEBPS/Images/figure_0071_0002.jpg?sign=1739633979-bBQZ0iRjjpdLAMukAETPoBuyB54VtqxQ-0-4912d0df4ed7d6f04c900ac7f7c8f015)
2 将两侧底角绕到腹部打结。
![](https://epubservercos.yuewen.com/B50706/16938423505141606/epubprivate/OEBPS/Images/figure_0071_0003.jpg?sign=1739633979-1nlyR5KvpXpsp0R2Mi6DxqwJWN2GgjAG-0-c268e479719a0e49ebc9f597f820bf7c)
3 将顶角带从两腿间拉向正前上方,与两底角打结处相遇,打结。
![](https://epubservercos.yuewen.com/B50706/16938423505141606/epubprivate/OEBPS/Images/figure_0071_0004.jpg?sign=1739633979-WSkbcY8MPed62ArgsEaqZfKeqC5FsMic-0-05e87dec7fedc4bb122d6fc0bdca7291)
腋下包扎法
1 用敷料覆盖伤口后,在敷料上放置一个较厚的衬垫,如一卷绷带或折叠的布块。
![](https://epubservercos.yuewen.com/B50706/16938423505141606/epubprivate/OEBPS/Images/figure_0072_0001.jpg?sign=1739633979-WlWZ6iI4mVrQr0aLqDyewLbQhZlgvdke-0-793bb9db685b1dfccf8a864f0123d703)
2 将三角巾折叠成适当宽度的条带状,将条带中点放在腋下衬垫处。
![](https://epubservercos.yuewen.com/B50706/16938423505141606/epubprivate/OEBPS/Images/figure_0072_0002.jpg?sign=1739633979-3V1vNlKselEJ6wDLv4Y0J5SxrWiE7pci-0-2a73ed690e9c8c86d70af8aaacf4987f)
3 拉起条带的两端,在同侧肩上交叉后,绕到对侧腋下打结。
![](https://epubservercos.yuewen.com/B50706/16938423505141606/epubprivate/OEBPS/Images/figure_0072_0003.jpg?sign=1739633979-pRBhF6CPss6eIvcws1yEiGI6jsMxMnsG-0-aad82aff65df219b9cf2fd4af87cb846)
上肢包扎法
1 将三角巾一侧底角打结,然后将这个结套在伤肢的中指上。
![](https://epubservercos.yuewen.com/B50706/16938423505141606/epubprivate/OEBPS/Images/figure_0073_0001.jpg?sign=1739633979-eAuw95COR6uSBZJXc6T2i1pl4jQkqHtv-0-92dd906988245148f026ce1d9a4fbec1)
2 将三角巾顶角向上,底边覆盖同侧肩背部,由外向内用顶角包绕伤肢,最后用顶角带缠绕固定。
![](https://epubservercos.yuewen.com/B50706/16938423505141606/epubprivate/OEBPS/Images/figure_0073_0002.jpg?sign=1739633979-dt5KkUvh85h6wyMylxrXSlTgw2zgHa51-0-8b61cc171157a12d3cbcbf26d6780319)
3 将包好的前臂屈曲至胸前,手在健侧锁骨处,使三角巾两底角在健侧肩部相遇打结。
![](https://epubservercos.yuewen.com/B50706/16938423505141606/epubprivate/OEBPS/Images/figure_0073_0003.jpg?sign=1739633979-FvmN56QdZgCHtU5QGtrPVAiqgCd6XVfy-0-5e69f610b8f56ddf9f0a5c748a2c410f)
小腿及足部包扎法
1 三角巾撑开平铺,将足放在靠近底边处,脚趾朝向一侧底角。
![](https://epubservercos.yuewen.com/B50706/16938423505141606/epubprivate/OEBPS/Images/figure_0074_0001.jpg?sign=1739633979-KLCOpyqOfNZyG4oaBVnCtSw0SZSB2hf9-0-4cd3b9b41306134b55d6fd9cf2e6cab6)
2 提起另一侧底角与顶角包绕小腿,使顶角带与底角相遇打结。
![](https://epubservercos.yuewen.com/B50706/16938423505141606/epubprivate/OEBPS/Images/figure_0074_0002.jpg?sign=1739633979-cS9Jlswi7sVny7alcOinb4nqkkuGtbJk-0-0f0bec81cf14f642e87de71f4064481d)
3 将脚趾对着的底角打一个结,再拉向踝关节,并围绕踝关节打结。
![](https://epubservercos.yuewen.com/B50706/16938423505141606/epubprivate/OEBPS/Images/figure_0074_0003.jpg?sign=1739633979-h16v9Xx5pSpxY0CEMAY6qMiSfc8C82bL-0-a2c64c37aa7384b57ccf5ce62adfad73)
膝(肘)关节包扎法
1 根据具体情况将三角巾折叠成适当宽度的条带,将条带中央覆盖在膝(肘)关节受伤部位的敷料上。
![](https://epubservercos.yuewen.com/B50706/16938423505141606/epubprivate/OEBPS/Images/figure_0075_0001.jpg?sign=1739633979-iXZQ73ifBvGlhEm6oa0mpOpSrCL9Onip-0-4e0a4db83c4af010f769da925f5a9f2a)
2 将条带在腘(肘)窝处交叉,再一上一下分别压住条带上下两边,缠绕一整圈后在后面相遇打结。
![](https://epubservercos.yuewen.com/B50706/16938423505141606/epubprivate/OEBPS/Images/figure_0075_0002.jpg?sign=1739633979-srr76pqyj8HCb7sfkR3qysiai4KpsdBU-0-3bbdd0921af62c43cb7f712e5fd1bb77)
1.
![](https://epubservercos.yuewen.com/B50706/16938423505141606/epubprivate/OEBPS/Images/figure_0075_0003.jpg?sign=1739633979-GtdDn25qT3YsNKFm0eSnwcy9jBrzDqcs-0-90ab19475ae2c479c2f1895cd282ee0a)
2.
![](https://epubservercos.yuewen.com/B50706/16938423505141606/epubprivate/OEBPS/Images/figure_0075_0004.jpg?sign=1739633979-TeeVf5fRnBMZxIoKQO4tmvRrlj1Dh0FW-0-317e5f36fb7cc55d59d6d478cd26e755)
3.
手(足)部包扎法
1 将手掌(足底)平放在三角巾中央,手指(脚趾)朝向顶角。
![](https://epubservercos.yuewen.com/B50706/16938423505141606/epubprivate/OEBPS/Images/figure_0076_0001.jpg?sign=1739633979-0WbLqLOxPYMiSUpTL4jZzsArvTynkdk2-0-97bf4b1e3e2f964f7ecb9113e562a5bc)
2 拉起顶角折回覆盖在手(足)背部。
![](https://epubservercos.yuewen.com/B50706/16938423505141606/epubprivate/OEBPS/Images/figure_0076_0002.jpg?sign=1739633979-UABOILHOV1TDNiONwBM7Jo5Aex3yCbON-0-81b5a82cff27118685bd1d2990d7a8a2)
3 两底角分别包绕至手(足)背部交叉,再围绕腕(踝)部一周,在手(足)背部打结。
![](https://epubservercos.yuewen.com/B50706/16938423505141606/epubprivate/OEBPS/Images/figure_0076_0003.jpg?sign=1739633979-Sw11bjraXZaWMXu2QEhOzUSVxd5wNUFR-0-895d624431f46018622d3cd194132440)
1.
![](https://epubservercos.yuewen.com/B50706/16938423505141606/epubprivate/OEBPS/Images/figure_0076_0004.jpg?sign=1739633979-Mh7gJ65nUe0onpcefQVuy8hqd90NGpQL-0-4118ca86682ce4c6e8f1a9630c7c31a7)
2.
![](https://epubservercos.yuewen.com/B50706/16938423505141606/epubprivate/OEBPS/Images/figure_0076_0005.jpg?sign=1739633979-5n0ggzjIOQI4qpnxjTIVyaLnzQXUedw9-0-c435eafab24d1da533ddbaa96d3aceb4)
3.
用三角巾制作悬臂带
大悬臂带——适用于前臂或肘关节损伤
1 将三角巾展开,一个底角放于健侧肩部,顶角朝向伤侧肘部。
![](https://epubservercos.yuewen.com/B50706/16938423505141606/epubprivate/OEBPS/Images/figure_0077_0001.jpg?sign=1739633979-rPRxFevV1kVDN9lnoM1JWz9KgoI0uGuN-0-d06f0db2be8b49d901f512f400a4d7a0)
2 弯曲伤侧肘关节,角度略小于90°(即手的位置略高于肘部),使前臂放在三角巾中部。
![](https://epubservercos.yuewen.com/B50706/16938423505141606/epubprivate/OEBPS/Images/figure_0077_0002.jpg?sign=1739633979-QNhPaEPLBco8HyG2ggkm8ZTaTK0ZB1cz-0-e94b59fa3bb8cd4fa0e527650db3f5f7)
3 拉起下面的底角向上反折,覆盖前臂,通过伤侧肩部。将两底角在健侧锁骨上窝处打结,使前臂悬吊于胸前。
![](https://epubservercos.yuewen.com/B50706/16938423505141606/epubprivate/OEBPS/Images/figure_0077_0003.jpg?sign=1739633979-WYHjZW5raHwXHlqTN6xqbHmnavwweFcF-0-9cd407782a3199b259a24bd51a6f2fc3)
4 将三角巾顶角旋转后,塞入悬臂带内。
![](https://epubservercos.yuewen.com/B50706/16938423505141606/epubprivate/OEBPS/Images/figure_0078_0001.jpg?sign=1739633979-cUln5Hb8Q5U3wQgdlgklW72MnZNu5rCu-0-0e8085e1caa00a85488f182d732b5757)
小悬臂带——适用于上臂或肩关节损伤
1 先将三角巾折叠成适当宽度的条带,再将条带的中点放在伤侧前臂的下1/3处。
![](https://epubservercos.yuewen.com/B50706/16938423505141606/epubprivate/OEBPS/Images/figure_0078_0002.jpg?sign=1739633979-0SrnFlj80HYABgexcqWsMik2EZUZMvbV-0-50fbe5dfedf541bedbfff7db84f0eb79)
![](https://epubservercos.yuewen.com/B50706/16938423505141606/epubprivate/OEBPS/Images/figure_0078_0003.jpg?sign=1739633979-BodySnQB8tPolZdk5J2EI6LFo9VDBMX2-0-96d7a87a1ccffb4b8de9a73e0fc59304)
2 条带的两端底角在颈后部相遇打结,使肘关节屈曲吊于胸前,角度略小于90°(即手的位置略高于肘部)。
3 另取一条适当宽度的条带,在吊起的前臂上方环绕胸腔一周,在背部打结,作为固定之用,以防止肩关节活动,加重损伤。
![](https://epubservercos.yuewen.com/B50706/16938423505141606/epubprivate/OEBPS/Images/figure_0079_0001.jpg?sign=1739633979-hUB2UGfMsodEuu4UC3poITTSZfWmmSS2-0-5b72c8f1b0c42de5d47b448bfccfe1b3)
三角悬臂带——适用于锁骨、肘关节、前臂、手部损伤
1 嘱咐伤者五指并拢,屈曲伤侧手臂,中指放在对侧锁骨上窝。
![](https://epubservercos.yuewen.com/B50706/16938423505141606/epubprivate/OEBPS/Images/figure_0079_0002.jpg?sign=1739633979-Wn0ytMsCkAIa3mJQsUp8n8wCXhOyoI45-0-7c149af629b433a38607983aa5bc3042)
2 救助者面向伤者,两手分别持三角巾的顶角与一侧底角,顶角盖住伤侧肘部;底角拉向对侧肩部,盖住手部。
![](https://epubservercos.yuewen.com/B50706/16938423505141606/epubprivate/OEBPS/Images/figure_0079_0003.jpg?sign=1739633979-6yrwKl51qzDRjfTu5d0HoEjcplEep5Xm-0-7a821fa92308880bf04e39b120a26435)
3 救助者将伤者前臂下方的三角巾折入前臂后面,再转到伤者肘部,将三角巾的顶角连同底边一起旋转数周,再从后背拉至对侧肩部,与另一底角相遇打结。
![](https://epubservercos.yuewen.com/B50706/16938423505141606/epubprivate/OEBPS/Images/figure_0080_0001.jpg?sign=1739633979-8cf9u5uauHwA4780XvcKxqsUbA3ABNUY-0-15d65d0cbc2473b0bfb4d224d428bd66)
不使用三角巾的简易悬吊
1 利用外套扣子:解开伤者外套心口下方的一粒扣子,将伤侧的手穿过解开的衣缝放进衣服里,将手腕搭在衣缝下面的扣子上。
![](https://epubservercos.yuewen.com/B50706/16938423505141606/epubprivate/OEBPS/Images/figure_0080_0002.jpg?sign=1739633979-6otAjIvIqTiNgzQ9ByyR6ArNdkgCGVVK-0-40d477ac1a60b5c48888ea1de3346b35)
2 利用外套衣角:从下往上解开伤者外套,直至将健侧衣角向上折起,能托起伤侧手臂。用大的安全别针将衣角固定在外套的胸前位置,可多用几个别针固定衣服的边角,使托起的手臂更稳固。
![](https://epubservercos.yuewen.com/B50706/16938423505141606/epubprivate/OEBPS/Images/figure_0081_0001.jpg?sign=1739633979-CH4oVkKxcbWq3hre6Xh5SP48opmhrq0x-0-3e18c70f4f4a32c01542741106e0fc38)
3 利用袖子:若伤者身着长袖衬衫,可直接将伤侧手臂斜放在胸前,将袖口用安全别针别在衬衫的胸部或者对侧肩部,保持手臂抬高。
![](https://epubservercos.yuewen.com/B50706/16938423505141606/epubprivate/OEBPS/Images/figure_0081_0002.jpg?sign=1739633979-fU2mSIoKnbdFWSZkeB4wtBX4cDoVfvm7-0-a9ab36a343bcce20c3cc6d9fa70f0bfc)
![](https://epubservercos.yuewen.com/B50706/16938423505141606/epubprivate/OEBPS/Images/figure_0081_0003.jpg?sign=1739633979-87IlrunkrX7FgJ2n5rWgGBngpYwCQmK3-0-9555ffbe8298040fad36a526928774c4)
4 利用皮带、领带、背带:用皮带、领带、背带当作“悬带”,将“悬带”系成一个合适大小的圈,套在伤者脖子上,然后将伤侧手腕放在里面,高度以使手部的位置略高于肘部为宜。