• 泰州 阵雨转多云 18℃~11℃

【健康】当心!突发胸痛这样做,是错的

来源: 编辑:汤晨洁 08-31 10:40 查看数:0 评论:0

我们经常在朋友圈看到类似这样的“温馨提醒”:出现胸痛怎么办?疑似心梗怎么办?医生支招,赶紧这样做……但是,你可能不知道,网上传播的一些胸痛急救操作方法,其实是错误的。

错误做法一

心脏不适时按压胳肢窝

这个方法曾被大肆宣传,提出者称其为最简单的急救方法,具体为:当心脏出现不舒服,或者看有人倒地,“按压胳肢窝能救命”,这样能让血流加速,加速回心血,从而冲开被堵塞的心脏血管,达到“救人”的目的。

其实,按压胳肢窝毫无用处。相反,出现心脏不舒服或者突发胸痛时,切记不可用力活动,这时应该保持平静的状态,并拨打急救电话。有的患者发病的诱因是情绪悸动或劳动,在平静休息之后能够得到缓解。

正确做法

我们施以援手时,不要随意搬动患者,减少其心肌耗氧量。若是呼吸困难、无法平卧的患者,帮助他选取半卧位或坐位;如发生血压下降或休克,应取平卧位,保持患者处在舒适体位、做好保暖,这样可以缓解其不适感。

错误做法二

足底放血急救脑溢血

曾有一篇“脑溢血救命绝招”的文章广为传播,里面说的是脑溢血患者发病4小时内,用针在患者足底刺出黑血,就可以将脑溢血的后遗症降到最低,其实这个做法是错误的。

脑出血最常见的原因是高血压和血管动脉瘤破裂,血管已经破裂,血已经到了颅脑内,需要及时制止出血和防止脑水肿,扎一下足底是起不到“放血”作用的。

正确做法

遇到疑似脑出血病人时,我们应第一时间拨打急救电话;让患者侧面卧位,防止呕吐物导致窒息;不要随意翻动病人。

错误做法三

拍胳膊肘治疗心脏病

心脏病是因为供应心脏血液的血管出现了狭窄,甚至阻塞,拍胳膊肘不仅不能解除狭窄和阻塞,疼痛还会加速本已生病的心脏的跳动,加重病情,危及生命。

正确做法

正确的应对方法是让患者坐位或者卧位休息,并拨打急救电话。

错误做法四

心脏病发作应做胸外按压

心脏病包括很多种类,出现心源性猝死或心脏骤停,也就是心脏不能正常收缩导致患者意识丧失时,才需要做心肺复苏。当患者心脏没有骤停,还能够正常收缩与射血时,做心肺复苏反而会影响心脏正常的收缩与射血,是有害健康的。

正确做法

心肺复苏在患者“无反应”“无呼吸”时可以做。拍打患者并大声呼唤,患者没有痛苦、眨眼、皱眉、呻吟等反应为“无反应”;胸部无起伏5-10秒为无呼吸。

当患者“无反应”“无呼吸”同时具备,即可判断为心脏骤停,应开始心肺复苏。

? 按压位置:两乳头连线中点处(胸骨中下段)。

? 深度:5-6厘米(约身份证的宽度)。

? 频率:100-120次/分钟,每30次按压口对口吹气2次,一直反复直到急救人员到来。

来源:健康圈

编辑:汤晨洁

责编:赵倩倩

审核:吴军

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