主动脉阻断技术在控制不可压缩躯干出血方面的应用进展  

Progress in the application of aortic clamping techniques in the control of NCTH

作　　者：卢畅(综述) 黄禾菁 孙吕平(审校) LU Chang;HUANG Hejing;SUN Lüping(Department of Ultrasound,Changzheng Hospital Affiliated to Naval Medical University,Shanghai 200003,China;Department of Medical Service,Changzheng Hospital Affiliated to Naval Medical University,Shanghai 200003,China)

机构地区：[1]海军军医大学(原第二军医大学)长征医院超声科,上海200003 [2]海军军医大学(原第二军医大学)长征医院医务处,上海200003

出　　处：《东南国防医药》2023年第2期177-182,共6页Military Medical Journal of Southeast China

摘　　要：美军十年海外战争的战伤救治经验证实控制出血对降低战伤死亡率的意义至关重要。躯干和躯干交界处出血的止血比四肢出血的止血过程复杂,四肢止血带的应用对降低战伤死亡率具有很好的效果,但躯干和躯干交界处出血常规方法难以奏效。近年来发展的主动脉阻断技术通过阻断主动脉通路控制远心端不可压缩躯干的出血,其应用在动物实验和小范围临床研究方面获得了成功。文章就主动脉阻断技术和各技术的应用特点进行综述。The U.S.military′s 10 years of combat wound care experience in foreign wars confirms that bleeding control is critical to reducing the significance of combat wound mortality.The hemostatic process of bleeding at the junction of torso and torso is more complicated than that of bleeding at the extremities.The application of tourniquet at the extremities has a good effect on decreasing the mortality of combat injuries,but the conventional method of bleeding at the junction of torso and torso is not effective.In recent years,the aortic occlusion technique has been developed to control Non-compressible truncal hemorrhage by blocking the aortic access,and its application has been successful in animal experiments and small-scale clinical studies.This study reviews the techniques of aortic occlusion and their application characteristics,so as to guide clinical decision makers to correctly understand and choose aortic occlusion techniques.

关 键 词：主动脉阻断 外部主动脉压迫 腹主动脉连接止血带 胃食管复苏性主动脉闭塞 腹膜内止血装置 复苏性血管内主动脉球囊闭塞 

分 类 号：R6[医药卫生—外科学]