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低温环境下创伤救治决策分析

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低温环境作为特殊的战场环境,对创伤伤员的伤情进展、评估、处置均与常温环境不同.本文阐述了低温环境对人体的影响,创伤性低体温的产生机制、结局影响及分级,同时从暴露于低温环境的冷损伤和对创伤救治的不良影响进行分析讨论,详尽分析体温管理的处置原则、风险因素识别与监测手段及防治措施等体温管理决策,以期指导一线人员规范救治程序,细化低温环境下快速有效开展评估与处置,提高整体院前战创伤救治水平.
Decision analysis of trauma care in a low-temperature environment
Low-temperature environment,a special battlefield environment different from the normal temper-ature environment,requires different strategies for injury progression,assessment,and treatment.This review illus-trates the impact of a low-temperature environment on the human body,and the mechanism,outcomes and classifica-tion of traumatic hypothermia.At the same time,the cold damage caused by exposure to a low-temperature environ-ment and the adverse effect on trauma care were analyzed and discussed.Temperature management principles,risk factor identification and monitoring,as well as prevention & control measures were analyzed in detail.All of the a-nalysis aims to guide the front-line personnel to standardize the treatment procedures,refine the rapid and effective assessment and treatment in a low-temperature environment,and thus improve the overall level of pre-hospital war trauma care.

Trauma careHypothermiaLow temperature environment

王家宾、李青、刘冬霞、姜倩、张胜良

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解放军63600部队医院急诊科,兰州 732750

解放军63600部队医院呼吸内科,兰州 732750

解放军63600部队医院妇产科,兰州 732750

创伤救治 低体温 低温环境

2024

创伤外科杂志
第三军医大学,大坪医院,野战外科研究所

创伤外科杂志

CSTPCD
影响因子:1.017
ISSN:1009-4237
年,卷(期):2024.26(2)
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