野外应急救援手术器械现状与优化设计  

Status and optimization design of field emergency rescue surgical instruments

作　　者：林宝丽[1] 陈珺[1] 于美华[2] 何丽云[2] 谢玮娜[2] 卢承志[2] 

机构地区：[1]解放军175医院,厦门大学附属东南医院护理部,福建漳州363000 [2]解放军175医院,厦门大学附属东南医院麻醉科,福建漳州363000

出　　处：《医疗卫生装备》2017年第8期100-103,共4页Chinese Medical Equipment Journal

基　　金：原南京军区医学科技创新资助课题(15MS106)

摘　　要：目的:针对野战医院手术方舱的特点及野外条件下展开手术救治的任务需求,研制机动、灵活、便捷的系列手术保障器械。方法:根据野外伤病员展开手术救治特点及需求进行研究,设计研制了一系列适合野外应急手术救治的便捷式手术器械。结果:便捷式面罩固定带结构简单、操作便捷、固定牢固,能有效防止面罩非计划拔管、脱落、移位,确保野外伤病员转运安全。便捷式肢体消毒架性能稳定且安全,承重可达150 kg,应用于野外伤员肢体手术前消毒、无菌铺单时,无需额外增加人力抬举、牵引,可提高工作效率。便捷式俯卧体位垫轻便、美观、舒适,携带方便,承重量大,可快速展开野外俯卧位手术,充分暴露手术野,便于手术操作,提高手术救治成功率。结论:该系列手术器械结构稳定、操作简单,快速机动,可清洗、消毒反复使用,携带、存储、装载、运输方便,适用于野外应急救援保障任务。Objective To develop a series of surgical instruments to improve surgical treatment in field conditions with considerations on the characteristics of medical shelter and the requirements of surgical treatment in field conditions.Methods A series of surgical instruments was developed with considerations on the characteristics and requirements of surgical treatment in field conditions. Results The mask strap behaved well in structure, operation and fixation, and prevented the mask from unplanned extubation, dropping off and displacement. The sterilizing rack had high stability and safety and 150 kg bearing capability, and eliminated the needs for additional workload for patient carrying and traction during preoperative sterilization. The prone-position cushion exposed the operative field sufficiently and enhanced the success rate of surgical treatment. Conclusion The series of surgical instruments gains advantages in structure, operation, mobility,cleaning, sterilization, carrying, storage, loading and transport, and thus is applicable for field emergency rescue.

关 键 词：手术器械优化 手术保障 野外应急救援 批量伤员 护理 

分 类 号：R82[医药卫生—临床医学]