阿富汗战争美军“黄金1小时”时效救治效果分析及对我军的启示  

Effects of aeromedical evacuation of US Army in Afghanistan War:experience and enlightenment

作　　者：郭栋 贺祯 何伟华 鱼敏 李荣彦 GUO Dong;HE Zhen;HE Wei-hua;YU Min;LI Rong-yan(Institute of Health Service and Blood Research,Academy of Military Medical Sciences,Beijing 100850,China)

机构地区：[1]军事医学研究院卫生勤务与血液研究所卫勤研究室,北京100850 [2]联勤保障部队卫勤局卫勤保障室

出　　处：《中国急救复苏与灾害医学杂志》2019年第9期843-846,共4页China Journal of Emergency Resuscitation and Disaster Medicine

摘　　要：基于战术战伤救治(Tactical Combat Casualty Care,TCCC)理念,美军时任国防部长盖茨(Robert M. Gates)在2009年启动战场伤员须在1h内完成直升机院外空运后送授权。由于“黄金1小时”救治策略在实践中得到良好贯彻执行,美军在阿富汗战争中伤员的阵亡率、战斗死亡率均显著降低,并且72h内归队率得到明显提升(均P<0.001)。本文在分析美军伤员“黄金1小时”时效救治效果基础上,提出我军要加强战时空运医疗后送能力建设,实行优质资源靠前配置,不断提升战术区伤员时效救治和快速后送能力。Based on the tactical combat casuahy care (TCCC) concept, Robert M. Gates, then US secretary of defense, mandated that prehospital helicopter transport of critically injured soldiers be operated within 60 minutes in 2009. Con? forming to the "golden hour" policy, this practice significantly reduced the percentage of killed in action (KIA), and significantly raised the percentage of returned to duty (RTD) in 72 hours (both P < 0.001). The authors of this article analyzed the experience of the US army, and suggested that aeromedical evacuation (AME) be promoted and quality medical resources be deployed near the front so as to increase the treatment capacity in China.

关 键 词：美军 阿富汗战争 黄金1小时 时效救治 启示 

分 类 号：R129[医药卫生—环境卫生学]