城口人注意!海姆立克急救法更新!这类人群禁用腹部冲击,救命技能一定要学会
<section data-pm-slice="17 1 []" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); margin: 0px; padding: 0px; outline: 0px; max-width: 100%; color: rgba(0, 0, 0, 0.9); font-family: PingFang SC NEW, system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; text-align: justify; white-space: normal; background-color: rgb(255, 255, 255); letter-spacing: 0.578px; box-sizing: border-box !important; overflow-wrap: break-word !important;"><section powered-by="xiumi.us" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"><section data-pm-slice="15 3 []" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"><section powered-by="xiumi.us" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); 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caret-color: rgb(0, 0, 0); text-align: center; line-height: 2em; font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif; visibility: visible; box-sizing: border-box !important; overflow-wrap: break-word !important;"><p style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); margin-top: 16px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; text-align: left; line-height: 2em; visibility: visible; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; visibility: visible;"><span data-pm-slice="1 1 " style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span mpa-font-style="mtzmnjh01ait" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); margin: 0px; padding: 0px; outline: 0px; max-width: 100%; letter-spacing: 1px; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span leaf="" data-pm-slice="0 0 []" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); margin: 0px; padding: 0px; outline: 0px; max-width: 100%; color: rgba(0, 0, 0, 0.9); font-size: 17px; font-family: mp-quote, PingFang SC, system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; line-height: 1.6; letter-spacing: 0.034em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span textstyle="" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); margin: 0px; padding: 0px; outline: 0px; max-width: 100%; letter-spacing: 1px; box-sizing: border-box !important; overflow-wrap: break-word !important;">近</span></span><span leaf="" mpa-font-style="mtzpo44m22c8" data-pm-slice="1 1 " style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span textstyle="" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 17px; letter-spacing: normal;">日,</span><span textstyle="" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 17px; letter-spacing: normal; color: rgb(0, 122, 170); font-weight: bold;">“海姆立克急救法步骤更新”登上热搜</span><span textstyle="" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 17px; letter-spacing: normal;">。新版到底改了哪些?为什么要改?记者采访了浙江大学医学院附属第二医院急诊医学科副主任医师吴红波。</span></span></span></span></span></p></section></section></section><section nodeleaf="" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); margin: -8px 0px 0px 326.391px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; display: flex; z-index: 99; visibility: visible; line-height: 2em;"></section></section></section></section></section></section></section></section></section><p style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); margin: 0px 8px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: PingFang SC NEW, system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: justify; white-space: normal; background-color: rgb(255, 255, 255); line-height: 2em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); margin: 0px; padding: 0px; outline: 0px; max-width: 100%; font-family: mp-quote, PingFang SC, system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; letter-spacing: 0.034em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span leaf="" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span textstyle="" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); margin: 0px; padding: 0px; outline: 0px; max-width: 100%; letter-spacing: normal; box-sizing: border-box !important; overflow-wrap: break-word !important;">吴红</span></span></span><span leaf="" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span textstyle="" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); margin: 0px; padding: 0px; outline: 0px; max-width: 100%; letter-spacing: normal; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;">波介绍,</span><span class="wx_search_keyword_wrap" link-id="link-1789373297910-0.44548911137885217" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; color: rgb(87, 107, 149); cursor: default;">海姆立克急救法<em class="wx_search_keyword" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; display: inline-block; vertical-align: super; font-size: 10px; width: 1.2em; height: 1.2em; mask-position: 50% 50%; mask-repeat: no-repeat; mask-size: 100%; background-color: rgb(87, 107, 149); mask-image: url(data:image/svg+xml,%3csvg width=12 height=12 viewBox=0 0 12 12 fill=none xmlns=http://www.w3.org/2000/svg%3e%3cpath fill-rule=evenodd clip-rule=evenodd d=M7.60772 8.29444C7.02144 8.73734 6.29139 9 5.5 9C3.567 9 2 7.433 2 5.5C2 3.567 3.567 2 5.5 2C7.433 2 9 3.567 9 5.5C9 6.28241 8.74327 7.00486 8.30946 7.5877C8.3183 7.59444 8.3268 7.60186 8.33488 7.60994L10.4331 9.70816L9.726 10.4153L7.62777 8.31704C7.62055 8.30983 7.61387 8.30228 7.60772 8.29444ZM8 5.5C8 6.88071 6.88071 8 5.5 8C4.11929 8 3 6.88071 3 5.5C3 4.11929 4.11929 3 5.5 3C6.88071 3 8 4.11929 8 5.5Z fill=%23576B95/%3e%3c/svg%3e);"></em></span><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;">此前分成人版和幼儿版,新版做了统一流程优化,最大出发点是</span></span><span textstyle="" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); margin: 0px; padding: 0px; outline: 0px; max-width: 100%; letter-spacing: normal; color: rgb(0, 122, 170); box-sizing: border-box !important; overflow-wrap: break-word !important;">“</span><span textstyle="" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); margin: 0px; padding: 0px; outline: 0px; max-width: 100%; letter-spacing: normal; color: rgb(0, 122, 170); font-weight: bold; box-sizing: border-box !important; overflow-wrap: break-word !important;">先保证安全,再实现解除气道梗阻</span><span textstyle="" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); margin: 0px; padding: 0px; outline: 0px; max-width: 100%; letter-spacing: normal; color: rgb(0, 122, 170); box-sizing: border-box !important; overflow-wrap: break-word !important;">”</span><span textstyle="" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); margin: 0px; padding: 0px; outline: 0px; max-width: 100%; letter-spacing: normal; box-sizing: border-box !important; overflow-wrap: break-word !important;">。海姆立克手法针对急性上气道梗阻,核心原理是通过环抱式腹部冲击提升腹内压,进而升高胸腔内压力,把造成窒息的异物冲出来。</span></span></p><p style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); margin: 24px 8px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: PingFang SC NEW, system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: justify; white-space: normal; background-color: rgb(255, 255, 255); line-height: 2em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span leaf="" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span textstyle="" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); margin: 0px; padding: 0px; outline: 0px; max-width: 100%; letter-spacing: normal; box-sizing: border-box !important; overflow-wrap: break-word !important;">“上气道窒息分不同类型,有些并没有造成气道完全阻塞。”吴红波说,气道完全梗阻时,患者有强烈窒息感,双手掐住脖子,剧烈咳嗽却咳不出,无法交流甚至完全发不出声音;不完全梗阻时,患者还能发声、断续讲话。旧版主要针对完全梗阻,冲击力度大,但腹部没有骨性结构保护,发力过猛可能造成胸骨剑突损伤,或肝脾挫伤。“但在生死关头,为了挽救生命,这些损伤也是值得的。”</span></span><span leaf="" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"><br style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"/></span></p><p><br/></p><section nodeleaf="" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); margin: 0px 8px 24px; padding: 0px; outline: 0px; max-width: 100%; color: rgba(0, 0, 0, 0.9); font-family: PingFang SC NEW, system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; white-space: normal; background-color: rgb(255, 255, 255); text-align: center; line-height: 2em; box-sizing: border-box !important; overflow-wrap: break-word !important;"></section><p><br/></p><p style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); margin: 0px 8px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: PingFang SC NEW, system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: justify; white-space: normal; background-color: rgb(255, 255, 255); line-height: 2em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); margin: 0px; padding: 0px; outline: 0px; max-width: 100%; font-family: mp-quote, PingFang SC, system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; letter-spacing: 0.034em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span leaf="" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span textstyle="" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); margin: 0px; padding: 0px; outline: 0px; max-width: 100%; letter-spacing: normal; font-weight: bold; box-sizing: border-box !important; overflow-wrap: break-word !important;">新版优化为</span><span textstyle="" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); margin: 0px; padding: 0px; outline: 0px; max-width: 100%; letter-spacing: normal; box-sizing: border-box !important; overflow-wrap: break-word !important;">:先做5次背部拍击,位置在肩胛骨连线中点处,再行5次腹部冲击。拍背可通过胸廓震动松动异物,部分患者能直接咳出;拍背低风险,后方有脊柱、肋骨保护,正常拍击几乎不会造成损伤;若无效,再行腹部冲击。</span></span><span leaf="" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); margin: 0px; padding: 0px; outline: 0px; max-width: 100%; line-height: 2em; letter-spacing: 0.034em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span textstyle="" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); margin: 0px; padding: 0px; outline: 0px; max-width: 100%; letter-spacing: normal; color: rgb(47, 118, 195); font-weight: bold; box-sizing: border-box !important; overflow-wrap: break-word !important;">新版“先5次拍背,再5次腹部冲击”,比旧版更规范安全。</span></span></span></p><p style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); margin: 0px 8px 24px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: PingFang SC NEW, system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: justify; white-space: normal; background-color: rgb(255, 255, 255); line-height: 2em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); margin: 0px; padding: 0px; outline: 0px; max-width: 100%; font-family: mp-quote, PingFang SC, system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; letter-spacing: 0.034em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span leaf="" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span textstyle="" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); margin: 0px; padding: 0px; outline: 0px; max-width: 100%; letter-spacing: normal; font-weight: bold; box-sizing: border-box !important; overflow-wrap: break-word !important;">适用人群也有细化</span><span textstyle="" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); margin: 0px; padding: 0px; outline: 0px; max-width: 100%; letter-spacing: normal; box-sizing: border-box !important; overflow-wrap: break-word !important;">:1岁以上儿童至成人,统一采用“5次背部拍击+5次腹部冲击”。但</span><span textstyle="" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); margin: 0px; padding: 0px; outline: 0px; max-width: 100%; letter-spacing: normal; color: rgb(47, 118, 195); font-weight: bold; box-sizing: border-box !important; overflow-wrap: break-word !important;">1岁以内婴儿、重度肥胖人群、孕妇不能做腹部冲击</span><span textstyle="" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); margin: 0px; padding: 0px; outline: 0px; max-width: 100%; letter-spacing: normal; box-sizing: border-box !important; overflow-wrap: break-word !important;">,应改为“5次拍背+5次胸部冲击”,胸部冲击按压点与心肺复苏胸外按压位置一致,即两乳头连线中点。</span></span></span><span leaf="" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"><br style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"/></span></p><p><br/></p><section nodeleaf="" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); margin: 0px 8px 24px; padding: 0px; outline: 0px; max-width: 100%; color: rgba(0, 0, 0, 0.9); font-family: PingFang SC NEW, system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: center; white-space: normal; background-color: rgb(255, 255, 255); line-height: 2em; box-sizing: border-box !important; overflow-wrap: break-word !important;"></section><section data-pm-slice="0 0 []" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); margin: 0px 8px 24px; padding: 0px; outline: 0px; max-width: 100%; color: rgba(0, 0, 0, 0.9); font-family: PingFang SC NEW, system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: justify; white-space: normal; background-color: rgb(255, 255, 255); line-height: 2em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); margin: 0px; padding: 0px; outline: 0px; max-width: 100%; font-family: mp-quote, PingFang SC, system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; letter-spacing: 0.034em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span leaf="" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span textstyle="" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); margin: 0px; padding: 0px; outline: 0px; max-width: 100%; letter-spacing: normal; box-sizing: border-box !important; overflow-wrap: break-word !important;">吴红波强调,一旦患者完全不能发声、意识丧失、呼吸不规则、呼吸停止或摸不到脉搏,说明发生心脏骤停,应立即停止冲击,马上心肺复苏,同时拨打120急救电话。</span></span></span></section><section data-pm-slice="0 0 []" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); 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