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Жгут кровоостанавливающий типа Эсмарха – старейший из производимых в России жгутов, наиболее распространённый и простой в освоении жгут. Входит в состав многих табелизированных изделий. Жгут Эсмарха представляет собой резиновую ленту длиной до 1,5 м с двумя пластиковыми застежками-кнопками. Применяется для сдавливания мягких тканей конечностей с целью временной остановки кровотечения или временного выключения конечности из общего кровотока. Побочные действия и противопоказания Способ временной остановки кровотечения с помощью Ж. к. имеет ряд недостатков. К ним относятся сдавление не только сосудов, но и нервных стволов, что может привести к парезу или параличу конечности; опасность развития гангрены конечности или турникетного шока при сдавлении на срок более 2 ч. Прекращение кровотока в конечности снижает сопротивляемость тканей к возбудителям инфекции и ее регенераторные способности, что создает благоприятную почву для анаэробной инфекции (Анаэробная инфекция). Учитывая это, необходимо накладывать Ж. к. строго по показаниям и при неэффективности других методов остановки кровотечения. Противопоказано применение жгута при острой хирургической инфекции конечности, особенно при подозрении на ее анаэробный характер. Не рекомендуется накладывать жгут при заболеваниях сосудов, например при тромбофлебите, выраженном атеросклерозе. Перед применением необходимо ознакомиться с инструкцией по наложению кровоостанавливающих жгутов. Обязательно соблюдать время наложения.
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