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Чаще всего затрагивает выступающие части тела: ушные раковины, нос, недостаточно защищённые конечности, прежде всего пальцы рук и ног [3](https://obr-nowch.rchuv.ru/news/2023/12/28/obmorozhenie-osnovnie-priznaki-pervaya-pomoschj-i-)[5](https://ru.wikipedia.org/wiki/%D0%9E%D1%82%D0%BC%D0%BE%D1%80%D0%BE%D0%B6%D0%B5%D0%BD%D0%B8%D0%B5). \n\nВыделяют **четыре степени отморожения** по характеру поражения [4](https://6gkb.by/articles/profilaktika-otmorozheniy-i-pereokhlazhdeniy): \n1. **Первая** — наиболее лёгкая поверхностная, на участке отморожения после согревания развивается отёк, боль, покраснение кожных покровов [4](https://6gkb.by/articles/profilaktika-otmorozheniy-i-pereokhlazhdeniy). \n2. **Вторая** — на коже появляются пузыри, наполненные прозрачной жидкостью [4](https://6gkb.by/articles/profilaktika-otmorozheniy-i-pereokhlazhdeniy). \n3. **Третья** — образуются пузыри, содержащие кровянистую жидкость, через несколько суток на их месте образуются участки омертвения [4](https://6gkb.by/articles/profilaktika-otmorozheniy-i-pereokhlazhdeniy). \n4. **Четвёртая** — поражение кожи, мягких тканей и костных структур [4](https://6gkb.by/articles/profilaktika-otmorozheniy-i-pereokhlazhdeniy).\n\n\n\n## Причины\nЧаще всего отморожения возникают в холодное зимнее время при температуре окружающей среды ниже −15 °C [3](https://obr-nowch.rchuv.ru/news/2023/12/28/obmorozhenie-osnovnie-priznaki-pervaya-pomoschj-i-)[5](https://ru.wikipedia.org/wiki/%D0%9E%D1%82%D0%BC%D0%BE%D1%80%D0%BE%D0%B6%D0%B5%D0%BD%D0%B8%D0%B5). При длительном пребывании вне помещения, особенно при высокой влажности и сильном ветре, отморожение можно получить и при более высокой температуре воздуха [5](https://ru.wikipedia.org/wiki/%D0%9E%D1%82%D0%BC%D0%BE%D1%80%D0%BE%D0%B6%D0%B5%D0%BD%D0%B8%D0%B5). \n\nНекоторые факторы, которые увеличивают риск отморожения: \n* тесная и влажная одежда и обувь, затрудняющая кровообращение [4](https://6gkb.by/articles/profilaktika-otmorozheniy-i-pereokhlazhdeniy)[9](https://n-d-c.ru/publications/travmatologiya/otmorozhenie/); \n* факторы, снижающие общую сопротивляемость организма (потеря крови, шок, истощение) [9](https://n-d-c.ru/publications/travmatologiya/otmorozhenie/); \n* факторы, ухудшающие кровообращение и сосудистое сопротивление (длительная неподвижность конечностей, их длительное положение в согнутом состоянии, ранее перенесённые обморожения) [9](https://n-d-c.ru/publications/travmatologiya/otmorozhenie/).\n\n## Симптомы\nСимптомы отморожения могут варьироваться в зависимости от степени тяжести [2](https://bsmp.by/press-tsentr/polezno-znat/pervaya-pomoshch-chto-delat/otmorozheniya-opasnost-o-kotoroj-stoit-znat). Некоторые признаки: \n* ощущение холода и онемения в поражённой области [2](https://bsmp.by/press-tsentr/polezno-znat/pervaya-pomoshch-chto-delat/otmorozheniya-opasnost-o-kotoroj-stoit-znat); \n* изменение цвета кожи (белый, серый, желтоватый) [2](https://bsmp.by/press-tsentr/polezno-znat/pervaya-pomoshch-chto-delat/otmorozheniya-opasnost-o-kotoroj-stoit-znat); \n* появление волдырей и сильная боль в случае более глубоких отморожений [2](https://bsmp.by/press-tsentr/polezno-znat/pervaya-pomoshch-chto-delat/otmorozheniya-opasnost-o-kotoroj-stoit-znat); \n* в крайних случаях — потеря чувствительности и омертвение ткани [2](https://bsmp.by/press-tsentr/polezno-znat/pervaya-pomoshch-chto-delat/otmorozheniya-opasnost-o-kotoroj-stoit-znat).\n\n## Первая помощь\nПри признаках отморожения необходимо **доставить пострадавшего в ближайшее тёплое помещение** [3](https://obr-nowch.rchuv.ru/news/2023/12/28/obmorozhenie-osnovnie-priznaki-pervaya-pomoschj-i-)[11](https://minzdrav.tatarstan.ru/index.htm/news/2156784.htm). В помещении его необходимо раздеть и разуть, так как одежда и обувь мешают согреванию [15](https://krastravma.ru/patsientam/poleznaya-informatsiya/travmatologiya/428-pervaya-pomoshch-pri-obmorozhenii). \n\n**Чего нельзя делать**: \n* растирать отмороженные участки снегом, льдом, жёсткой варежкой, тканью (так можно повредить кожный покров и занести инфекцию) [15](https://krastravma.ru/patsientam/poleznaya-informatsiya/travmatologiya/428-pervaya-pomoshch-pri-obmorozhenii); \n* прикладывать к отмороженному месту грелку, класть больного в горячую ванну или рядом с обогревателем — согревание должно происходить медленно и постепенно [15](https://krastravma.ru/patsientam/poleznaya-informatsiya/travmatologiya/428-pervaya-pomoshch-pri-obmorozhenii); \n* мазать рану жиром, маслом, спиртом, это осложнит ситуацию [15](https://krastravma.ru/patsientam/poleznaya-informatsiya/travmatologiya/428-pervaya-pomoshch-pri-obmorozhenii).\n\nВидео с инструкцией по оказанию первой помощи при отморожении:\n\n\u003ciframe src=\"//rutube.ru/play/embed/ac0b417c26806ece43cdfa3fb03b274f/?wmode=opaque\" frameborder=\"0\" scrolling=\"no\" allowfullscreen=\"1\" allow=\"autoplay; fullscreen; accelerometer; gyroscope; picture-in-picture\" aria-label=\"Video\">\u003c/iframe>\n\n\n## Лечение\n**Лечение отморожения зависит от степени тяжести поражения** [1](https://semeynaya.ru/directions/khirurgiya/otmorozhenie/). Например: \n* **При обморожении 2-й степени** вскрытие пузырей и их обработка осуществляются в условиях хирургического кабинета, для предотвращения присоединения инфекции накладывается асептическая повязка [18](https://49.rospotrebnadzor.ru/content/%D0%BE%D0%B1%D0%BC%D0%BE%D1%80%D0%BE%D0%B6%D0%B5%D0%BD%D0%B8%D0%B5-%E2%80%93-%D0%BF%D1%80%D0%B8%D0%B7%D0%BD%D0%B0%D0%BA%D0%B8-%D1%81%D1%82%D0%B5%D0%BF%D0%B5%D0%BD%D0%B8-%D0%B8-%D0%BF%D0%B5%D1%80%D0%B2%D0%B0%D1%8F-%D0%BF%D0%BE%D0%BC%D0%BE%D1%89%D1%8C-%D0%BF%D1%80%D0%B8-%D0%BE%D0%B1%D0%BC%D0%BE%D1%80%D0%BE%D0%B6%D0%B5%D0%BD%D0%B8%D0%B8-%D0%BF%D1%80%D0%BE%D1%84%D0%B8%D0%BB%D0%B0%D0%BA%D1%82%D0%B8%D0%BA%D0%B0). \n* **При обморожении 3-й–4-й степени** в условиях стационара удаляются некротизированные ткани, проводится противовоспалительная и антибактериальная терапия [18](https://49.rospotrebnadzor.ru/content/%D0%BE%D0%B1%D0%BC%D0%BE%D1%80%D0%BE%D0%B6%D0%B5%D0%BD%D0%B8%D0%B5-%E2%80%93-%D0%BF%D1%80%D0%B8%D0%B7%D0%BD%D0%B0%D0%BA%D0%B8-%D1%81%D1%82%D0%B5%D0%BF%D0%B5%D0%BD%D0%B8-%D0%B8-%D0%BF%D0%B5%D1%80%D0%B2%D0%B0%D1%8F-%D0%BF%D0%BE%D0%BC%D0%BE%D1%89%D1%8C-%D0%BF%D1%80%D0%B8-%D0%BE%D0%B1%D0%BC%D0%BE%D1%80%D0%BE%D0%B6%D0%B5%D0%BD%D0%B8%D0%B8-%D0%BF%D1%80%D0%BE%D1%84%D0%B8%D0%BB%D0%B0%D0%BA%D1%82%D0%B8%D0%BA%D0%B0). \n\n**Самолечение** при отморожении не рекомендуется — необходимо обратиться за квалифицированной медицинской помощью [13](https://navigator.mosgorzdrav.ru/article/otmorozhenie-u-detey/?sphrase_id=2181861).","linksData":[{"sourceId":1,"url":"https://semeynaya.ru/directions/khirurgiya/otmorozhenie/","shownUrl":"https://semeynaya.ru/directions/khirurgiya/otmorozhenie/","title":"Отморожение","shortUrl":"semeynaya.ru","isTranslated":false,"description":"","greenUrl":"semeynaya.ru"},{"sourceId":2,"url":"https://bsmp.by/press-tsentr/polezno-znat/pervaya-pomoshch-chto-delat/otmorozheniya-opasnost-o-kotoroj-stoit-znat","shownUrl":"https://bsmp.by/press-tsentr/polezno-znat/pervaya-pomoshch-chto-delat/otmorozheniya-opasnost-o-kotoroj-stoit-znat","title":"Отморожения: Опасность, о которой стоит знать","shortUrl":"bsmp.by","isTranslated":false,"description":"","greenUrl":"bsmp.by"},{"sourceId":3,"url":"https://obr-nowch.rchuv.ru/news/2023/12/28/obmorozhenie-osnovnie-priznaki-pervaya-pomoschj-i-","shownUrl":"https://obr-nowch.rchuv.ru/news/2023/12/28/obmorozhenie-osnovnie-priznaki-pervaya-pomoschj-i-","title":"Обморожение, основные признаки, первая помощь и профилактика обморожений. | Отдел образования администрации города Новочебоксарска Чувашской Республики","shortUrl":"obr-nowch.rchuv.ru","isTranslated":false,"description":"","greenUrl":"obr-nowch.rchuv.ru"},{"sourceId":4,"url":"https://6gkb.by/articles/profilaktika-otmorozheniy-i-pereokhlazhdeniy","shownUrl":"https://6gkb.by/articles/profilaktika-otmorozheniy-i-pereokhlazhdeniy","title":"Профилактика отморожений и переохлаждений. | Городская клиническая больница г. 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