简要综述了地震灾区受伤人员的现场急救的组织、救治方法,强调了受伤人员心肺功能维护、液体复苏、受压肢体的处理和骨折的固定等措施,特别是对于受压时间长、感染严重、坏死明显的肢体在解压前应用止血带暂时阻断血流,先输入一定量的碳酸氢钠溶液和其他液体进行液体复苏,待清创、减张后再缓慢恢复血运,避免酸性代谢产物、钾、毒素等大量回流造成循环衰竭和心搏骤停。 This paper briefly reviewed the organization and treatment methods of on-site first aid for injured people in earthquake-stricken areas, emphasized the cardiopulmonary maintenance, liquid resuscitation, the treatment of the injured limbs and the fixation of fractures, especially for the long time of pressure, serious infection, Necrotic obvious limbs in the decompression of the tourniquet to temporarily block the blood flow, the first input of a certain amount of sodium bicarbonate solution and other liquids for liquid resuscitation until debridement, decompression and then slowly restore blood circulation, to avoid acidic metabolites, Potassium, toxins and other reflux caused by a large number of circulatory failure and cardiac arrest.