战伤战术阶段救治技术的创新策略  

Innovated strategies of tactical combat casualty care techniques

作　　者：李阳[1] 张岫竹[1] 张连阳[1] 

机构地区：[1]第三军医大学大坪医院野战外科研究所全军战创伤中心,创伤、烧伤与复合伤国家重点实验室,重庆400042

出　　处：《实用医药杂志》2017年第1期1-3,共3页Practical Journal of Medicine & Pharmacy

基　　金：全军重大专项课题“战场一线伤员自救互救和急救新技术的研究”(AWS15J004)

摘　　要：战伤战术阶段救治是为了稳定血流动力学,挽救生命、保留肢体、预防致命并发症而采取的紧急措施。随着"战术战伤救治"(TCCC)理念和技术发展,以前肢体战伤出血等"可压迫性出血"(compressive hemorrhage,CH)导致的可预防死亡已从60%降至2%~7%。这使得需依靠二级或三级救治阶梯手术止血的躯干和交界部位战伤所致"不可压迫性出血(non-compressive torso hemorrhage,NCTH)"上升到潜在可预防性死亡的87%。笔者针对躯干和交界部战伤出血和张力性气胸这两大潜在可预防性死亡原因的战伤战术阶段救治进展和我军创新发展的策略做一简述。Hemodynamic stability,maximized likelihood of survival,minimized functional impairment and the disabling injuries and prevention of major complications are the key targets of tactical combat casualty care （TCCC）. With full implementation of the concepts and techniques of TCCC,the death from the compressive hemorrhage that were mostly caused by peripheral-extremity bleeding has decreased from around 60% to 2%-7%. However,the exsanguination which is not amendable to the extremity tourniquets contributed to 87% of potentially survivable death,vast majority of which occurs in the areas of the junction and the trunk requires the surgical intervention at the second or third echelon chains. This article reviewed the innovated strategies and development of TCCC in our military force by specifically focusing on the two major potentially preventable death causes：the trunk-junctional hemorrhage and tension pneumothorax.

关 键 词：战伤 战术阶段 救治 策略 

分 类 号：R826.1[医药卫生—临床医学]