战时创伤性心跳骤停的现场急救和发展趋势

First aid and future perspective of traumatic cardiac arrest in wartime

战时创伤性心跳骤停(TCA)的主要原因包括失血性休克和张力性气胸等,其战现场急救流程为在快速识别导致TCA原因的基础上,实施集束化急救措施,即快速纠正导致TCA的可逆性原因,进行高质量的心肺复苏。伤员恢复自主心跳后,后送至下一级救治机构继续复苏治疗,后送途中维持液体复苏的延续性。未来要针对TCA战现场早期识别、致伤机制和救治措施进行深入研究,并结合我军实际情况制定针对性的救治流程。

The main causes of traumatic cardiac arrest(TCA)include hemorrhagic shock and tension pneumothorax.The on-site first aid algorithm include quick identification of the causes of TCA,prompt correction of the reversible causes of TCA,and then carry out high-quality cardiopulmonary resuscitation.After spontaneous heartbeat is obtained,the injured are evacuated to the next level facility for further resuscitation.Continuous fluid resuscitation is kept during the evacuation.In the future,it is necessary to conduct in-depth research on the early identification,mechanism and treatment measures for TCA during wartime,and formulate targeted treatment protocols based on the actual situation of our army.