驻香港部队卫勤保障中锁定暂时性血管分流装置的应用研究  

Application of locked temporary vascular shunt device in medical support of Hong Kong troops

作　　者：陆海波 许文静[3] 罗涌 彭江[3] 郭全义[3] 张小天 卢道云 聂晨阳 李森 王春雨 张斌 卢世璧[3] LU Haibo;XU Wenjing;LUO Yong;PENG Jiang;GUO Quanyi;ZHANG Xiaotian;LU Daoyun;NIE Chenyang;LI Sen;WANG Chunyu;ZHANG Bin;LU Shibi(Department of Comprehensive Clinical,the Hong Kong Garrison Hospital of PLA,Hong Kong 999077,China;Department of Orthopedics,the First Affiliated Hospital of PLA General Hospital;Institute of Orthopaedics of PLA General Hospital;Guangzhou General Hospital of PLA;Lanzhou General Hospital of PLA)

机构地区：[1]解放军驻香港部队医院综合临床科,香港999077 [2]解放军总医院第一附属医院骨科 [3]解放军总医院全军骨科研究所 [4]解放军广州总医院 [5]解放军兰州总医院

出　　处：《西北国防医学杂志》2018年第7期432-436,共5页Medical Journal of National Defending Forces in Northwest China

基　　金：2016年全军医学科技青年培育项目(16QNP143);2016解放军总医院临床科研扶持基金(2016FC-304ZCXYY-01);军队十二五课题重点项目(BWS13C029)

摘　　要：目的:探讨锁定暂时性血管分流(locked temporary vascular shunts,LTVS)装置在驻港部队四肢血管伤紧急救治中的应用效果。方法:LTVS装置是将暂时性血管分流(temporary vascular shunts,TVS)的外壁改进成等距螺纹状,将螺纹分流管插入受损血管断端后,再用2个内壁呈匹配内螺纹的合页式锁定螺帽,将分流管与血管壁固定,用以替代TVS的徒手打结固定方式。并分别比较TVS组与LTVS组的血管分流操作时间。结果:LTVS组的体外血管爆破压比TVS组高114.29%[(0.05±0.01)MPa vs(0.02±0.01)MPa],LTVS组的血管分流操作时间比TVS组明显缩短60.37%[(138.89±18.22)s vs(350.48±52.20)s]。结论:与现行TVS相比,LTVS的安全性及使用率更高。Objective：To investigate the effect of locked temporary vascular shunt（LTVS）as an important technique for injury control in the application of emergency medical treatment of vascular injuries of limbs.Methods：LTVS was designed on the basis of temporary vascular shunts（TVS）,the outer wall of the shunt was modified to have a equidistant thread shape.After the thread shunt was inserted into the broken end of the damaged vessel,the two inner walls were matched.The internal thread locking nut fixed the shunt tube to the blood vessel wall to replace the TVS unarmed fixation method.The TVS and LTVS vascular shunt operation time were compared.Results：The in vitro blood vessel burst pressure of the LTVS group was higher than that of the TVS group by 114.29% [（0.05±0.01）MPa vs（0.02±0.01）MPa].The vascular shunt operation time of the LTVS group was significantly shorter than that of the TVS group by 60.37%[（138.89±18.22）s vs（350.48±52.20）s].Conclusion：LTVS may be safer and more efficient than TVS.

关 键 词：血管伤 暂时性血管分流 战伤救治 

分 类 号：R683.4[医药卫生—骨科学]