野外严寒环境下加温加压输血装置的性能与适用性评价  

Performance and applicability evaluation of pressure infusion cuff and blood warmer under severe cold environments in the field

作　　者：马印图 陈莉[2] 陈晓飞 赵义曼 王金保 王梁 李莉华[2] MA Yin-tu;CHEN Li;CHEN Xiao-fei;ZHAO Yi-man;WANG Jin-bao;WANG Liang;LI Li-hua(The 980th Hospital of Joint Logistics Support Force,Shijiazhuang 050082,China;Hebei Blood Center,Shijiazhuang 050071,China)

机构地区：[1]联勤保障部队第980医院,石家庄050082 [2]河北省血液中心,石家庄050071

出　　处：《医疗卫生装备》2023年第11期117-120,共4页Chinese Medical Equipment Journal

基　　金：军队科研项目(CLB18J018)。

摘　　要：目的:评价自主研制的加温加压输血装置在野外严寒环境下的性能和适用性。方法:在野外严寒条件下,将模拟失血性休克伤员置于担架中转运至2 km外的转运车上,转运途中采用加温加压装置进行液体复苏、加温加压血液回输等紧急救治,分析该装置在转运途中的加温加压效果;选取2只健康成年雄性猪构建战伤失血性休克动物模型,将其中的一只猪作为实验动物,采用加温加压装置进行输血输液抢救,另一只猪作为对照动物,采用市售充气加压袋和加温器进行输血输液抢救,比较2种加温、加压方式救治前后动物生命体征的变化和加温加压输注效果。结果:加温加压输血装置使用方便、加温加压效果好,在伤员转运途中适用性良好;与对照动物相比,实验动物的血容量、血压、呼吸等生命体征恢复得更快,输血输液速度及液体复温的效果也更优。结论:加温加压输血装置性能良好,适合在野外严寒环境下使用。Objective To test the performances and applicability of the pressure infusion cuff and blood warmer under severe cold environments in the field.Methods Under the severe cold conditions in the field,the simulated hemorrhagic shock patient was placed on a stretcher and transported to a transfer vehicle 2 km away,a pressure infusion cuff and blood warmer was used to perform fluid resuscitation and heating and pressurization blood transfusion during the transport,and the effect of heating and pressurization of the device during the transport was evaluated;two healthy adult male pigs were selected to construct animal models of hemorrhagic shock from war wounds,of which one pig was used as an experimental animal to be treated by blood transfusion with a pressure infusion cuff and blood warmer and the other pig was recognized as a control animal to be treated by blood transfusion using commercially available inflatable pressurized bags and thermostats,and comparison analysis was carried out on the changes in vital signs of animals before and after treatment by the 2 methods of warming and pressurization and the effects of warming and pressurization transfusion.Results The pressure infusion cuff and blood warmer gained advantages in convenience,efficiency and applicability during patient transport;the experimental animal behaved better than the control animal in vital signs such as blood volume,pressure and respiration,transfusion speed and fluid warming.Conclusion The pressure infusion cuff and blood warmer has high efficiency and is applicable under severe cold conditions in the field.

关 键 词：加温加压输血装置 严寒环境 输血输液抢救 

分 类 号：R82[医药卫生—临床医学]