第二次世界大战以来,特别是朝鲜战争以来,外国文献中关于战伤救治方面出现了一些新的观点。为开阔同志们的思路,我们收集了有关这方面的若干有现实意义的问题,汇总如下,提供大家研究讨论。1.用不用止血带有人认为,以往火线救护时止血带用得太濫,其实一般动脉出血用加压包扎即可止住,没有必要用止血带。就是用了止血带,也有许多错误:(1)急救人员不会区别动脉出血和静脉出血,对静脉出血也上了止血带,以致静脉血不能回流;反而使伤员继续出血;(2)不是绑得过松,便是绑得过紧,过松可阻止静脉血回流,过紧了损伤肢体组织;(3)绑了以后每20-30分钟松开一次是很危险的,因为在战地6-8小时的担架后送途中,松一次就要多出一些血,有些伤员本来失血已多,再出一些血,可以发生生命危险;虽然后 Since the Second World War, especially since the Korean War, there have been some new views on the treatment of war wounds in foreign literature. In order to broaden our gay people’s thinking, we have collected a number of practical issues in this regard, summarized below, and provided for discussion and discussion. 1. With no need for stop bleeding Some people think that when using FireWire tourniquet to use too much, in fact, general arterial bleeding can be stopped with pressure bandage, there is no need to use tourniquet. There is a tourniquet, there are many mistakes: (1) emergency personnel will not distinguish between bleeding and venous bleeding, venous bleeding also on the tourniquet, so that venous blood can not return; instead of the wounded to continue bleeding; (2) is not tied Too loose, it is tied too tight, too loose to prevent venous return, too tight to damage the limbs; (3) tied to release every 20-30 minutes is very dangerous because in the field 6- 8 hours of stretcher on the way, loose one more blood, some wounded had been bleeding, and then some blood can be life-threatening; although after