摘要
战伤救治一直是推动失血性休克救治进展的重要源泉,战伤救治特别强调在战术阶段和紧急救治阶段针对战伤失血性休克的救治,本文结合2017年底国内颁布的两个创伤失血性休克共识,解读战伤失血性休克救治对创伤失血性休克救治的启示,包括经验性评估策略指导手术止血、“设定”存在致命性三联征指导输血,第一优先筛查和处置大出血、贯穿院前至手术全过程的出血控制,以及损害控制性复苏的止血作用和移动血库提供新鲜全血的价值等。
War wound treatment has always been an important source to promote the progress of hemorrhagic shock treatment, which especially emphasizes the hemorrhagic shock treatment in the tactical phase and emergency treatment phase. This article combines two Trauma-related Hemorrhagic Shock Consensuses published in China, and elucidates the enlightenment from treatment of war wound-related hemorrhagic shock for trauma-related hemorrhagic shock treatment, including empirical evaluation strategies for guiding surgical hemostasis, "setting" fatal triple sign to guide blood transfusion, first priority screening and disposal of large bleeding, hemorrhage control from prehospital to full surgical procedure, the hemostasis effect of controlled resuscitation and the value of movable blood banks for providing fresh whole blood.
作者
张连阳
李阳
Zhang Lianyang;Li Yang(Trauma Center, State Key Laboratory of Trauma, Burns and Combined Injury, Institute of Surgery Research, Third affiliated hospital, Army Military Medical University, Chongqing, Chin)
基金
全军重点项目(CS317L015)
全军重大专项课题(AWS15J004)
关键词
战伤
失血性休克
救治
war wound
hemorrhagic shock
treatment