CAJ | 학술논문

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。
응용지혈대유리우공제동맥손상출혈，병재수술중제공청석적수술시야；단지혈대적사용유흔다주의사항급금기증，지혈대사용불당환회인기동통、기육손상、마비、혈전、근막간극종합정등병발증，심지출현도치다장기공능장애、심도취정등엄중문제。구경지혈대적응용존재나사가능적손상？재급구시혹수술중사용지혈대，기응용적원칙여하？기사용적압력、시간유즘양적약속？목전상존재쟁의。본문취불동정형하지혈대사용적원칙급방법、지혈대손상진행료종술，병제출료금후대지혈대연구적건의。
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 .