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海姆利克急救法培训【PPT展示】

  • 2026-07-21 02:40:36
海姆利克急救法培训【PPT展示】
海姆利克急救法
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夜班急诊，一个男人抱着孩子冲进来，孩子脸已经紫了。说是在家吃花生米呛到了。用海姆立克法急救，咳出来一颗完整的花生，孩子在怀里哇的一声哭出来。那声哭，是我那晚听到最安心、最悦耳的声音。
气道完全梗阻，时间是以秒来计算的。1分钟之内人还能挣扎，4分钟脑细胞就开始不可逆损伤，超过10分钟就是脑死亡。海姆立克急救法，其实就是在这几分钟里，用人工的方式制造一次"咳嗽"。
原理不复杂。会厌软骨是气管的盖子，正常吞咽时它盖住气管入口。如果吃饭时说笑，盖子没盖好，食物就可能滑进气管。海姆立克法通过冲击腹部，膈肌上抬，胸腔压力骤然升高，肺里的残留气体被高速挤压出来，气流带着异物一起冲出去。
识别梗阻是第一步。不完全梗阻的患者还能咳嗽、还能喘气、还能说话——鼓励他自己咳，不要拍背，不要上手。完全梗阻的典型体征是双手呈V字形掐住喉咙，说不出话，咳不出声，面色迅速青紫。看到这个信号，一秒都不能犹豫，立刻施救。
站到患者身后，双脚前后弓步站立，前脚插入患者两腿之间。这个姿势的意义在于——如果患者突然昏迷，你能撑住他，不会两个人一起摔倒。找冲击点用"剪刀石头布"的口诀——剪刀找肚脐，石头定位置，布包住石头。冲击点在肚脐上方两指宽处，剑突下方。用力方向是向内、向上，干脆利落，连续冲击，直到异物排出或者患者失去意识。注意避开剑突，直接冲击剑突可能造成骨折，对内脏造成严重伤害。
孕妇和极度肥胖的人肚子不能按压，冲击点上移到胸骨下半部分，两乳头连线的中点，快速向后冲压。
一岁以下的婴儿不能用成人方法，肝脏在腹腔位置较浅，腹部冲击会损伤内脏。正确的做法是头低脚高，先5次背部拍击，再翻转过来5次胸部冲击，交替进行，直到异物排出或婴儿失去反应。
自己一个人被卡住怎么办？找一个固定物体，椅背、桌角、栏杆都行，用拳头放在肚脐上方两指处，弯下腰，用腹部顶住硬物边缘，猛烈向内向上冲击。这个动作很费力，但生死关头，这是唯一的机会。
什么时候停止冲击？异物咳出来了，停止。患者昏迷了，停止，转入心肺复苏。按压开始时不要急于检查口腔，先做30次胸外按压。按压结束后检查口腔——如果能看到异物，用小指像鱼钩一样从侧面把它勾出来。绝对禁止盲目地用手指在喉咙深处乱掏，会把异物推得更深。
海姆立克法虽然救命的，但剧烈的冲击也可能造成损伤——肋骨骨折、腹部内脏损伤、吸入性肺炎。急救之后无论异物有没有排出，都要去医院做进一步检查，排查隐匿性损伤。不要以为人没事了就万事大吉，内脏损伤有时是迟发性的。
预防的意义远大于急救。汤圆、年糕、果冻、坚果、整粒葡萄，这些食物对儿童来说都是高风险。培养安全进食习惯——吃饭时不跑不闹不笑不哭，坐着吃，不躺着喂。用卫生纸筒测试孩子的玩具和物品，凡是能完整穿过纸筒的小物件，都有窒息风险。
异物卡喉不发声，海姆立克显神通。剪刀石头布顶腹，向内向上把气冲。婴儿拍背加按胸，头低脚高救命钟。
急救口诀记得住，但更重要的是平时不松懈。那个吃花生的孩子后来观察了一夜，没事出院了。他爸爸走的时候说，以后再也不给孩子吃整粒的坚果了。这个承诺听进去，比学会了急救法还管用。只要有一次疏漏，前面的所有预防都可能归零。吃饭不说话、食物切小块、危险物品收高处——这些日常小事做扎实了，很多人根本不需要进抢救室。
本文来自网友投稿或网络内容，如有侵犯您的权益请联系我们删除，联系邮箱：wyl860211@qq.com 。

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  1. CONNECT:[ UseTime:0.000535s ] mysql:host=127.0.0.1;port=3306;dbname=h_sjds;charset=utf8mb4
  2. SHOW FULL COLUMNS FROM `fenlei` [ RunTime:0.000934s ]
  3. SELECT * FROM `fenlei` WHERE `fid` = 0 [ RunTime:0.007477s ]
  4. SELECT * FROM `fenlei` WHERE `fid` = 63 [ RunTime:0.006223s ]
  5. SHOW FULL COLUMNS FROM `set` [ RunTime:0.000563s ]
  6. SELECT * FROM `set` [ RunTime:0.007165s ]
  7. SHOW FULL COLUMNS FROM `article` [ RunTime:0.000769s ]
  8. SELECT * FROM `article` WHERE `id` = 539891 LIMIT 1 [ RunTime:0.019847s ]
  9. UPDATE `article` SET `lasttime` = 1784842799 WHERE `id` = 539891 [ RunTime:0.018385s ]
  10. SELECT * FROM `fenlei` WHERE `id` = 64 LIMIT 1 [ RunTime:0.000312s ]
  11. SELECT * FROM `article` WHERE `id` < 539891 ORDER BY `id` DESC LIMIT 1 [ RunTime:0.001103s ]
  12. SELECT * FROM `article` WHERE `id` > 539891 ORDER BY `id` ASC LIMIT 1 [ RunTime:0.000485s ]
  13. SELECT * FROM `article` WHERE `id` < 539891 ORDER BY `id` DESC LIMIT 10 [ RunTime:0.021368s ]
  14. SELECT * FROM `article` WHERE `id` < 539891 ORDER BY `id` DESC LIMIT 10,10 [ RunTime:0.026853s ]
  15. SELECT * FROM `article` WHERE `id` < 539891 ORDER BY `id` DESC LIMIT 20,10 [ RunTime:0.044552s ]
0.229356s