便携超声在爆震伤战现场战救中应用的实验研究  

Experimental study on the application of portable ultrasound in blast injuries on combat casualty care

作　　者：张霞[1] 冯聪[2] 吴东东[2] 赵宇卓 吕发勤[3] 黎檀实[2] ZHANG Xia;FENG Cong;WU Dong dong;ZHAO Yu zhuo;LV Fa qin;LI Tan shi(Department of Critical Care Medicine,Bethune International Peace Hospital,Hebei Medical University,Shijiazhuang,Heibei,050082,China)

机构地区：[1]中国人民解放军白求恩国际和平医院重症监护科,河北050000 [2]中国人民解放军总医院急诊科 [3]中国人民解放军总医院超声科

出　　处：《中国急救复苏与灾害医学杂志》2019年第1期9-11,共3页China Journal of Emergency Resuscitation and Disaster Medicine

基　　金：军队后勤科研计划(BWS14J042、AWS15J004、BWS14J041、2015XL015、15WKS03);国家自然科学基金(81371561、81701961);军事医学创新专项(14cxz005);军事医学青年培育项目(16QNP135);北京市科技新星计划(XX2018019);河北省重点科技研究计划(20160274).

摘　　要：目的采用实战动物实验模型,探讨便携超声在爆震伤战现场战救中的应用价值。方法选用90头长白山猪建立批量爆震伤动物模型,模拟实战救治,应用便携超声进行检伤分类和损伤控制治疗,比较体检伤情评估和超声伤情评估的价值。结果90头实验动物,致伤成功44头,伤情评估24头。体格检查伤情评估耗时(60±23)s,超声伤情评估耗时(230±78)s,差异有统计学意义(P<0.05);二者的准确率分别约54.2%(13/24)、95.8%(23/24),差异有统计学意义(P<0.01)。结论使用便携超声可以准确地对实验动物的伤情进行评价,显著提高战现场伤情评估的准确率。Objective To explore the application of portable ultrasound in blast injuries on combat casualty care. Methods A total of 90 Changbaishan pigs were selected to establish a batch blast injury animals,so as to simulate the actual combat casualty care.Apply portable ultrasound for triage and damage control treatment,and compare physical injury assessment with ultrasonic injury assessment.Results 90 animals were experimented.44 animals were injuried and 24 aninals's degree of injury were evluated.Physical examination injury assessment time was (60±23)seconds.Ultrasonic injury assessment time was (230±78)seconds.The difference was significant (P<0.05).The two of the accuracy rate were 54.2%(13/24),95.8%(23/24).The difference was significant (P <0.01).Conclusion the use of portable ultrasound can aceurately evaluate the injury of the experimental animals,and greatly improve the accuracy rate of the assessment of the degree of injure on combat casualty care.

关 键 词：爆震伤 超声 战伤救治 检伤分类 损伤控制 

分 类 号：R129[医药卫生—环境卫生学]