野战综合手术方舱内微创介入救治闭合性肝损伤出血的护理模式探索

Nursing mode exploring of treating closed hepatic trauma and hemorrhage by percutaneous coronary intervention in field minimally-invasive interventional shelter

目的：探讨自行研制的野战综合手术方舱，在战场一线或严重灾害现场等野外复杂环境下，对闭合性肝损伤出血实施紧急介入救治的护理配合模式。方法选取8只比格犬，利用比格犬构建肝损伤出血的大动物实验模型，在野战综合手术方舱内采用微创介入的方式对损伤部位进行栓塞止血，并由护理人员按照不同于院内治疗的特殊护理模式进行术前、术中和术后的护理。结果8只肝损伤出血大动物模型均救治成功，且无手术相关并发症。结论在战场一线或严重灾害现场等野外复杂环境下，利用野战综合手术方舱实施介入救治，并采用不同于院内治疗的特殊护理模式，可有效救治闭合性肝损伤出血等重要脏器急重伤病。

Objective To explore the nursing mode of percutaneous coronary intervention (PCI) in field minimally- invasive interventional shelter for treating closed hepatic trauma and hemorrhage. Methods 8 animal modes of closed hepatic trauma were established by beagles. Then, the animals with damaged hepatic arteries were treated by emergency angio-interventional embolic treatment. And specific nursing mode, which was different from in-hospital, was performed in perioperative period. Results All the animal modes of closed hepatic trauma and hemorrhage were rescued successfully, and no operative complications were found. Conclusions With the cooperation of specific nursing mode, the emergency angio-interventional embolic treatment of closed hepatic trauma and hemorrhage in field minimally-invasive interventional shelter under the complex outdoor environment is feasible.