高原创伤院前急救中的几个重要问题  

Several key issues on pre-hospital emergency care for severe trauma patients in high altitude regions

作　　者：戴睿武 Dai Ruiwu(Department of General Sugery,General Hospital of Western Theater Command,Chengdu 610083,China)

机构地区：[1]中国人民解放军西部战区总医院普通外科,成都610083

出　　处：《创伤外科杂志》2022年第10期721-725,共5页Journal of Traumatic Surgery

基　　金：四川省科技计划重点研发项目(2022YFS0195);西部战区总医院院管课题(2021-XZYG-B16)。

摘　　要：缺氧高寒的高原环境下创伤救治难度明显增大。根据青藏高原医疗急救的困难和现状,提出将一些院内救治的内容前移到院前急救过程中,并应重视几个关键问题:靠前应用创伤重点超声评估(FAST)及其治疗拓展;伤员缺氧状态的准确判断和监测;提前防治创伤后高凝血症;合理的限制性液体复苏等。相信未来通过不断急救实践和技术改进,将会提高高原创伤患者的救治成功率。It is more difficult to treat trauma cases in high altitude environment with anoxic atmosphere and low temperature.Considering the dilemma and current situation of medical emergency treatment in Qinghai-Tibet Plateau,it is proposed that some contents of in-hospital treatment should be moved forward to the process of pre-hospital emergency care,and several key issues should be stressed:the earlier evaluation by using focused assessment with sonography in trauma and application of needed managements,accurate judgment and monitoring of the hypoxia severity of the wounded,prevention and treatment of trauma-induced hypercoagulopathy in advance,as well as rational use of limited fluid resuscitation.Through continuous practice and technical improvement of emergency care,the lifesaving rate of emergency trauma cases in high altitude regions will be improved.

关 键 词：高原创伤 院前急救 创伤重点超声评估 血气分析 创伤后高凝血症 

分 类 号：R459.7[医药卫生—急诊医学]