伙伴输血在战伤救治中的应用

Introduction to the application of partner blood transfusion in the treatment of war wounds

现代战争具有预警时间短、攻击威力猛、杀伤破坏力强、人员耗损数量大以及伤员伤情复杂、种类多(以大出血为主占75%,是受伤致死的主要原因)等特点。现代战争中大量简易爆炸装置的出现意味着在战场上受伤流血牺牲的士兵和平民会大大增多。这就需要更多的血液输入进伤者的体内,以防止因失血性休克而引起的死亡。止血、输血是应对大出血类伤情首要的救治措施。但在欠发达地区的战区,受制于战场环境的局限性,输注成分血成为了奢望,新鲜全血是第一选择。如何获取是亟待解决的关键问题。文章主要就伙伴输血在战伤救治中的应用进行综述。

Modern war has the following characteristics:the early warning time is short,the attack is powerful,the destructive power is strong,the number of personnel of attrition is large,leading cause of injury and death.The proliferation of improvised explosive devices in modern warfare means that the number of soldiers and civilians wounded and bloodied on the battlefield will increase dramatically.This requires more blood to enter into the body of the injured person to prevent death from hemorrhagic shock.Hemostasis and blood transfusion are the primary treatment measures for major bleeding injuries.However,in war zones in underdeveloped areas,subject to the limitations of the battlefield environment,transfusion of blood components has become a luxury,and fresh whole blood is the primary choice.How to obtain it is a key issue to solves urgently.This article reviews the application of a partner blood transfusion in the treatment of war wounds.