现代战争战场高发致命伤情分析及应对策略  

Analysis and countermeasures of the high incidence of fatal injuries in modern War

作　　者：彭博 潘菲[2] 贺祯 黎檀实[2] PENG Bo;PAN Fei;HE Zhen;LI Tanshi(Institute of Health Service and Transfusion Medicine,Academy of Mililary Medical Sciences,Academy of Military Sciences PLA China,Beijing 100850,China)

机构地区：[1]军事科学院军事医学研究院卫生勤务与血液研究所,北京100850 [2]解放军总医院第一医学中心急诊科,北京100853

出　　处：《中国急救复苏与灾害医学杂志》2020年第3期257-260,共4页China Journal of Emergency Resuscitation and Disaster Medicine

基　　金：军事医学创新专项(编号:14CZX005);军队后勤科研计划(编号:BWS14J042、AWS15J004)。

摘　　要：目的探讨现代战争条件下战场高发致命伤类型和临床特点并提出应对策略,为战时时效救治、分级救治提供依据,更好的挽救伤员生命。方法现代战争战场高发致命伤情分析以现代战争战伤谱专家问卷调查为基本依据,结合减员预计与动物致伤模型数据分析、既往作战历史数据分析作为验证手段,确保分析结果合理性和准确性。结果通过伤情谱、减员预计模型、既往作战资料3种手段互相验证,确定肢体大出血、张力性气胸和呼吸道阻塞3类战场高发致命伤类型,并在此基础上提出针对性应对策略。结论提出了控制致命性大出血作为战伤救治的最优先处置措施、加强战现场张力性气胸急救和预防、针对不同伤情运用具体气道管理措施与装备、科学分级救治等应对策略。Objective To explore the clinical characteristics of high fatal injuries in modern warfare and put fonvard countermeasures,provides the basis for the time-limited treatment and graded treatment in wartime,and better to save the lives of the wounded.Methods Analysis of fatal injuries based on war wound spectrum and expert questionnaire survey.Historical data,casualty prediction model and animal injury model are used for testing,to ensure the analysis results are reasonable and accurate.Results Limb hemorrhage,tension pneumothorax and airway obstruction were the three types of fatal injuries on the batllefield,and develop coping strategies based on the 3 injuries.Conclusion Control the fatal hemoiThages priority.Strengthen the tension pneumothorax first aid and prevention on the battlefield.Use the specific ainvay management measures and equipment were for different injuries and scientific graded treatment.

关 键 词：战伤谱 大出血 气胸 呼吸道梗阻 

分 类 号：R515.3[医药卫生—内科学]