作战人员战现场自救互救过程中致命性伤情的评估

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目的建立一种针对作战人员战现场自救互救过程中致命性伤情的评估方法。方法基于中外军战现场急救文献检索结果,归纳致命性伤情范畴和急救技术要点,制定作战人员战现场自救互救过程中致命性伤情评估方法。结果战时致命性伤情包括严重颅脑外伤、气道阻塞、心脏和大血管的穿透伤、严重的肺脏裂伤、张力性和开放性气胸、严重腹部脏器损伤导致的大出血、四肢和胸腹部的开放性大出血等。针对作战人员,自救互救重点关注的战现场致命性伤情包括开放性大出血、气道阻塞、张力性和开放性气胸,进而采用通俗易懂的语言阐述这三种伤情的评估方法。结论本研究建立的致命性伤情评估方法适用于无医学背景的作战人员学习自救互救技术,有益于降低阵亡率和伤残率。 Objective To establish a method of evaluation of fatal injuries in the field of self-help and mutual aid for combatants. Methods Based on the first aid literature retrieval results of Chinese and foreign military operations, the paper summarized the categories of fatal injuries and the technical points of first aid and made a method to evaluate the fatal injuries in the field of self-help and self-help of warfighters. Results Fatal wartime injuries included severe craniocerebral trauma, airway obstruction, penetrating injury to the heart and blood vessels, severe lung laceration, tension and open pneumothorax, major bleeding due to severe abdominal organ injury, limbs and Open chest and abdomen bleeding and so on. For the warfighter, the focus of self-help and mutual aid on-site battle fatal injuries include open bleeding, airway obstruction, tension and open pneumothorax, and then use plain language to describe the assessment of these three injuries. Conclusion The method of fatal injury evaluation established in this study is suitable for the study of self-help and mutual rescue techniques for warfighters without medical background, which is beneficial to reduce the mortality and disability rate.
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