直面挑战——躯干战伤出血的紧急控制

近年来,由于战场止血带的广泛应用,四肢战伤大出血死亡率已显著下降,而躯干战伤出血逐渐成为战场致命性大出血死亡的首要因素.本文主要介绍躯干战伤出血的概念及其特点,系统阐述了躯干战伤出血紧急控制的策略、装备和技术,包括局部止血材料、腔内泡沫材料、交界部位止血装置及主动脉阻断压迫技术等.积极研发躯干战伤战术阶段的救治装备和技术,是现阶段战术战伤救治进一步降低死亡率的关键,我军应借鉴外军经验,积极面对躯干战伤救治的严峻挑战,努力提升战术战伤救治水平.

Emergency control of torso hemorrhage in battlefield: A new challenge we have to face

With the widely use of tourniquet in battlefield, the mortality of limbs bleeding has decreased remarkably. However, torso hemorrhage has become the leading cause inducing battlefield mortality. In present paper, the concept and features of torso hemorrhage were introduced, and the scheme, equipment and techniques of emergency control of torso hemorrhage were also described systematically, including local hemostatic materials, cavity foam materials, hemostasis device and aortic compression technique, etc. At the present stage, it is the key of reducing tactics mortality to actively research and develop the tactical stage equipment and technology for emergency treatment of tactical torso injuries. We should draw lessons from foreign army and positively face the severe challenges on torso trauma to enhance our ability in tactical trauma care.