流动便携式重症监护治疗病房的创建

Establishment of a mobile intensive care unit

目的 为了适应突发灾害事故、载人航天航天员的医疗保障救护以及局部战争中伤员现场救护的需要,提倡和实施现代救护的新概念和技能,探讨创建流动便携式重症监护治疗病房(ICU)的方法和意义。方法 回顾分析参与载人航天航天员意外伤害医疗紧急救治工作的体会,从设备配置、人员强化培训及组织等方面提出创建流动便携式ICU的可行性。结果 流动便携式ICU在我国载人航天首飞航天员的医疗保障及救护中得到了应用,能达到“快速反应、立体救护”的目的,使危重病现场救治规则、卫勤保障原则更趋于合理,提高抢救成功率。结论 危重病特种伤现场急救需要“快速反应、立体救护”的现场急救新模式,流动便携式ICU的创建可达到这一目的,能降低突发灾害及局部战争中伤员的伤残率和死亡率。

Objective To discuss the experience of establishment of a mobile intensive care unit(ICU) for emergency treatment following astronaut flight, disaster, and regional war. Methods The data from both foreign and our countries as well as our own clinical experience of first -aid were reviewed, and a mobile ICU was established, including the equipment, supply of drugs, training, and organization. Results The mobile ICU was set up at the site of landing of the first Chinese astronaut, and proved to be efficient. The new model could be expected to be prompt in first -aid for casualties in disasters and warfare. Conclusion The first - aid on spot of casualties might reduce the rates of invalidity and mortality during disasters and regional war.