现代战争条件下基于损伤控制复苏原则的院前护理(文献综述)

Q3 Health Professions
Y. Shapkin, P. Seliverstov, N. Y. Stekolnikov, V. V. Ashevskiy
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引用次数: 0

摘要

的相关性。在战斗伤亡中,出血和失血性休克是本可预防的死亡的主要原因。院前损伤控制的概念、远程损伤控制复苏正在成为战地休克伤员护理的重要组成部分。在未来的“多域战场”中,根据损伤控制复苏原则提供院前护理的重要性日益增加。目的是根据过去二十年武装冲突(阿富汗、伊拉克、非洲、中东)中DCR的原则,考虑院前护理提供的有效性和特点。检索了PubMed数据库和科学电子图书馆(eLIBRARY.ru)中2017年至2022年发表的科学文章。结果和讨论。根据损害控制复苏原则进行的院前护理包括暂时止血、输液治疗作为止血复苏的一部分和允许性低血压、充分的呼吸支持、预防和消除体温过低,以及迅速转移到手术护理阶段。现代止血止血带、盆腔绷带、koalin和壳聚糖止血敷料是战斗伤员止血的有效手段。复苏血管内球囊阻断主动脉被认为是一种很有前途的止血方法。战场上止血复苏的基础是早期输血或其成分,并结合氨甲环酸和钙制剂的引入。具有低效价抗a、抗b抗体的O (I)型全血、冻干血浆和纤维蛋白原浓缩物为作战提供了后勤保障优势。根据损害控制复苏原则进行院前护理是有效的,可以显著降低战斗行动中受伤人员的死亡率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Prehospital care according to the principles of Damage Control Resuscitation in the conditions of modern warfare (literature review)
Relevance. Bleeding and hemorrhagic shock are the leading cause of potentially preventable deaths in combat casualties. The concept of pre-hospital injury control Remote Damage Control Resuscitation is becoming an integral part of care in the wounded with shock in the field. The significance of prehospital care provision according to the principles of Damage Control Resuscitation is increasing in future “multidomain battlefield”.The objective is to consider the effectiveness and features of prehospital care provision according to the principles of DCR in armed conflicts of the last two decades (in Afghanistan, Iraq, Africa, the Middle East).Methodology. A search was made for scientific articles in the PubMed database and the Scientific Electronic Library (eLIBRARY.ru), published from 2017 to 2022.Results and Discussion. Prehospital care according to the principles of Damage Control Resuscitation includes temporary arrest of bleeding, infusion therapy as part of hemostatic resuscitation and permissive hypotension, adequate respiratory support, prevention and elimination of hypothermia, and prompt evacuation to the stage of surgical care. Effective means to stop bleeding in combat casualties are modern hemostatic tourniquets, pelvic bandage, hemostatic dressings with koalin and chitosan. Resuscitation endovascular balloon occlusion of the aorta is recognized as a promising method for stopping internal bleeding. The basis of hemostatic resuscitation on the battlefield is the earlier transfusion of blood or its components in combination with the introduction of tranexamic acid and calcium preparations. Group O (I) whole blood with low titer anti-A and anti-B antibodies, lyophilized plasma and fibrinogen concentrate offer logistical advantages for combat use.Conclusion. Pre-hospital care according to the principles of Damage Control Resuscitation is effective and can significantly reduce mortality among those injured in combat operations.
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CiteScore
0.80
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0.00%
发文量
28
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