![家庭急救手册](https://wfqqreader-1252317822.image.myqcloud.com/cover/436/31280436/b_31280436.jpg)
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=1739099287-wyKeDGeg8bmnoZ9bo5VZk6cC9VV6chFs-0-6e6cd8bec61cafd8e6bb464269feb143)
“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=1739099287-bsy4wEVLGDiqTkV24OZy2MNozl7g9tfH-0-cd615a8f408d883409e68db8e6f65ce4)
“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=1739099287-9SHR9mJwObY5mEdzdS9Iws1OXmqCPsm4-0-cc77e593de13c6bcb1913b4550da061d)
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=1739099287-KoukTg2PyP9k1IzBU9nPpgcez5UXbu9X-0-2349ca2d8d6f5383effd1c7a6d226533)
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=1739099287-pG8yfvR3iVUsYpaCrFLvl6i49AOl9xcc-0-8963880b44bcf2e6b327fca26b272ded)
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=1739099287-nV4JqUhnQ3I3cgDlfxDle97QKKsXpwkM-0-07a6c85be3d9a43e8cd17cb90df0f388)
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=1739099287-pg9WLi7eNGY3T08rTawP5VP0RBHuhcFu-0-e97b64be9c35d6ac385c4a8885833306)
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=1739099287-Wp5W6RsNEZziykosoEsFd9V99tqkrTS1-0-620411934d49a35ae6302e6398c44603)
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=1739099287-sC99KsA3SztVvE9mDZqIFnr4t7F2ughb-0-9d6fe5d8f9bcd1dc7709662c60bc99bc)
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=1739099287-ajVfoSL0bUjBBcfWZPL0hlm3dqFxP0Cd-0-5b4f9ac785dcffca2f8105570fe700e8)
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=1739099287-UyPA54nWu64P47BWTKdFWqBDkEEbz23D-0-d72d2d94bf17a801c145964925a53283)
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=1739099287-Zn3iNEHRmTZYTdSK0EltVA9h88pwaWb3-0-0320077524b50dc976604013ccd66856)
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=1739099287-FW4ievMMvEql9AsiZ56wIoCgSrweZ9Ma-0-c1174a63203b4b8c1e2a688c30108f90)
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=1739099287-mciDucOuLRVNMTwZ5gDWok8ErJ1XYWlJ-0-8f5da2cd5070dad1c4c6f9efaeef269d)
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=1739099287-YHPKyxHSMLQDMiyU8Ql8QshtRzZkGt0m-0-2781106234aa06d060eeebad9cdf6321)
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=1739099287-JhgqnNqcSSjLmZXXUzSPIgPrDwRWGQ2X-0-1856c8d3ac0ee3e7ee080a5639036b8b)
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=1739099287-LWtsrPcH74WfpERYJfeLXeqQsOc9nrW8-0-a7e2075f5e4935c333b3a82e5b6277da)
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=1739099287-H4d8oXHoYRGlX3OY6sJOZtTSRFb4W3E0-0-642ee2ea19ec85e056b89fefaaa6b930)
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=1739099287-LX6rQoTConLAyVXNgdqVFcIJHyxEBZif-0-892540d5d83b4e80a1081e7bec32f687)
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=1739099287-tcjJxrrceMU4qwV0YYXD3rFR1BW0S4jI-0-3934f14936db0e13ae5129fae3d16303)
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=1739099287-cCxVghJx44KeFVKOosH7zg1nXq5kelA9-0-78cda612af42e03cd71c6548c96f6bef)
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=1739099287-9x04fyKKwn5p7t6qWUItwGKPnYfXlU2w-0-6e5e618cb4092b3485cfeba370719e37)
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=1739099287-mj57VwHRXeGujrCecS6jXtJKZuUCfDiD-0-15c763aa5637ecfc2fc6c97355af7160)
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=1739099287-cSpj09z6OqmbgynPnf3LDUz7cwXUFyP5-0-f6a56b11a6cd9c6ce65f742d3f7dff66)
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=1739099287-A4iqraAgweqwPDtv4RVONOq7ExfZ9Ud7-0-917054ed4404a0518a450682e4b72c0e)
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=1739099287-VIJCQmSGKExtI7DYl2M0Yva8gE4PVcWn-0-dc526d9a51acb7046b486ae8505299ab)
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=1739099287-4tbUl8xcZ5lbJBQSo8fpFqeO7HQvE2V2-0-90520a90088e76641d4b3d04b7ef2735)
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=1739099287-o8V5fmKBCIceFYC8O5rPwWj7JF2Vtyib-0-448cb585c848134bcfc4ff5de4216696)
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=1739099287-g1gauUzjuFG8SQkiVDgcEeJB4ERctsWu-0-c327380a32848c493360a35a9e58a478)
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=1739099287-ztFbwaa3bgTAOzwJjDQ7tBs3H2g8jPY9-0-c424a870fd9a80b0de9fbdc06b0bf813)
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=1739099287-98b7XFH5DgtmnsOL4LpmL3dOzdLJaebz-0-11a9acd6c2be32086c7948f569e891f6)
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=1739099287-DQfVoA3YVTLnlEamwOqffJxfXbIEXyHj-0-a5eaff3bf1789849430082682beb0f19)
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=1739099287-JVWk6rwKFAzExBlsvLpxoxTZHWOnkZUX-0-ed35d7bf593bb5d77bf77f0fe8428b52)
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=1739099287-vc3gVouoYmZq5pULa1ZR5TsZJdWhvmDD-0-891b20cb5433899c52b06ee0e9070808)
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=1739099287-uxf5kpkBdTUf8KZXGe1yuwFdxjvrgeWN-0-d5d1c2012df494921faa0e3f9f1123be)
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=1739099287-oE75x5SRcaUqzR0MsbWXuEvG4oeXEzMt-0-3ab92b6df66b912c1cc36a212b30102b)
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=1739099287-aPqwuK4hhKf8jqP4wUezVc0Nu2f0DD5P-0-e7994e5e0298573686d501a252bd0d11)
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=1739099287-mtKOCCLsyPqfKlbKpdsjJOM4rZdaiW6a-0-63ec8eded3dfde23b231cbd91b96cdd9)
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=1739099287-sr3aWeKrktEee0zIVT5uGLgsq75pmsgS-0-426c52db30ca6dfe232ac1bdbfe53ac1)
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=1739099287-0GWTcVMfV7sgykWFoEkbFHA8XnXFXIcC-0-3537ab119d73d1bba331fb45865b82a0)
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=1739099287-gHxGkRf1uCfcBm6TlkmcPiJmFo9STa5t-0-d28d9df48d56015a4bd20417a884d84d)
1.
![](https://epubservercos.yuewen.com/B50706/16938423505141606/epubprivate/OEBPS/Images/figure_0075_0003.jpg?sign=1739099287-sbZzfBnyqijCpiNotppnJseC8XXbxqmM-0-f320721f82fe662745a74593c278beb3)
2.
![](https://epubservercos.yuewen.com/B50706/16938423505141606/epubprivate/OEBPS/Images/figure_0075_0004.jpg?sign=1739099287-Cs7X3jcgYxvoHLD1bs846mS2MnZrzBO6-0-66ba223cb2226ff2e1260470f07f8ad4)
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=1739099287-aLqvKhswEvdiAIh3dZxFJ6V37Wzhxjze-0-5a795d8c5ef4a82d33aa1df2a77657db)
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=1739099287-4Lhp4l20GDqfhvoD6J1La0fxiTugP4q1-0-3a8862b855591742a9575bffc602f69f)
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=1739099287-B3vgq3ElW9Dn68ZBog1K4DX6Gy9EI5nW-0-6d00ee9a19472505eeefa6a0b9793960)
1.
![](https://epubservercos.yuewen.com/B50706/16938423505141606/epubprivate/OEBPS/Images/figure_0076_0004.jpg?sign=1739099287-mv5Jaikkikt4hGbae2QW1WUb72SDhwrY-0-72781a57682fe60631446833b7de2aea)
2.
![](https://epubservercos.yuewen.com/B50706/16938423505141606/epubprivate/OEBPS/Images/figure_0076_0005.jpg?sign=1739099287-FubTWw3bsSa6HCoWYqGfvdMsYaEPBpQJ-0-3dba35bdb494e5ac241d5ab164893c8e)
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=1739099287-fB8lgJc8t7EeaWCL09g0WycayXkYDnLn-0-6f9eddfb1817287325cdad4edccaf728)
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=1739099287-tDCgAeclN3xq0ulZc9iXPWAUJFRpefrA-0-2282a789e1bc0745568e8ce18b556a8a)
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=1739099287-0GvazpyO6iJV0asw8N18noSyStXIlfb3-0-f093af5f8a6f9176aec53fc2c070952f)
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=1739099287-NvoZ73mjUGzVLi8XYNpqoN2oVxmvFfYF-0-ddab2627d66ecd91c519fc1f20b2fb7e)
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=1739099287-jGNsWm5DwhuhHw2NdWyJKpAejJ4s9yfi-0-d0e8908fad8391ac51a05211a880f662)
![](https://epubservercos.yuewen.com/B50706/16938423505141606/epubprivate/OEBPS/Images/figure_0078_0003.jpg?sign=1739099287-o6G2BcwRZATWoJaMGCGxnCF4CLVqbFEk-0-be15b4afe592062dbb39d3585261b714)
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=1739099287-Ud6mzU7o4tKpJCSgK4Y51SKTutBIRTRN-0-1120f707f6e5ae781cedbb6c25579c04)
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=1739099287-W9enfzk2Kaxk3zzOD4gzdtjlzNlfcLJy-0-b4d92c431572f13ed3a60a2dfbf43179)
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=1739099287-GPC9PCG6vtFQanV3iAcWjbJ4Mc1zzZ1l-0-9b7c4628601fd620631f0da83ef5f41d)
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=1739099287-fAMh1UrrcKJo6ECrKoKaVgUzeJnoacQL-0-9bd93522effe1afdaec1c50d92b076ee)
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=1739099287-UiDtf5QtoSnS8xWcl9YPFIV9BY3HojLk-0-f045886145d96986b95efe7cf3a759bc)
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=1739099287-NRd916gwXjdmxREs8P2beQ3H0BRboLz3-0-1037a7ffa2d1fda27acc88092ae46315)
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=1739099287-JoF3Niyz7ukeqpo1OEGGGsm101nWp1Vw-0-31dfa83389fa76fefd48536a337595f8)
![](https://epubservercos.yuewen.com/B50706/16938423505141606/epubprivate/OEBPS/Images/figure_0081_0003.jpg?sign=1739099287-u2kFXRMgtflb9JGvYqNia3i9pY1bSgka-0-12475db9aeba73d92031a96146b83424)
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。