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| 战创伤急救止血技术的研究进展 |
| 王亚会1,赵家义2,3,刘轶清1,韩一平2,3 |
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(1. 解放军91528部队医院, 上海 200436;
2. 第二军医大学长海医院全科医学教研室, 上海 200433;
3. 第二军医大学长海医院呼吸与危重症医学科, 上海 200433
*通信作者) |
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| 摘要: |
| 快速止血对战创伤急救至关重要，其中止血带止血一直作为战场救治的首选方式。随着战场损伤形式的改变和止血观念的发展，急救止血技术从物理止血向化学止血、生物止血转变，现已有多种新型止血材料和止血方法被研发出来并获得应用。新型急救止血技术以特殊止血物质为核心，具有迅速、方便、高效、不良反应小及预后好等特点，且适用于传统止血手段效果不佳的情况（如内出血、凝血障碍等）。本文就急救止血方式、新型止血剂和相关止血产品的研究进展进行综述。 |
| 关键词: 止血技术 战创伤急救 止血药 止血理念 |
| DOI：10.16781/j.0258-879x.2017.05.0652 |
| 投稿时间：2016-09-12修订日期：2017-02-20 |
| 基金项目: |
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| Advance in hemostatic technology for managing war trauma |
| WANG Ya-hui1,ZHAO Jia-yi2,3,LIU Yi-qing1,HAN Yi-ping2,3 |
(1. No. 91528 Hospital of PLA, Shanghai 200436, China;
2. Department of General Practice, Changhai Hospital, Second Military Medical University, Shanghai 200433, China;
3. Department of Respiratory and Critical Care Medicine, Changhai Hospital, Second Military Medical University, Shanghai 200433, China
*Corresponding author) |
| Abstract: |
| Rapid hemostasis is critical for first-aid of war wound, and the application of tourniquet has always been the primary choice of combat casualties. With the change of battlefield injury form and development of hemostasis concept, the major technique for hemorrhage control has been changing from physical-aid to chemical-aid and bio-aid hemostasis, leading to the invention and application of various novel hemostatic materials and methods. The novel hemostatic techniques based on some special hemostatic agents are characterized by rapidity, convenience, high efficiency, less adverse event and good prognosis; in addition, they are particularly useful when the wounds can not be controlled by the traditional methods, such as internal hemorrhage and coagulopathy. This review summed the advance in hemostatic technology for first-aid of combat casualties, novel hemostatic agents and the related hemostatic products. |
| Key words: hemostatic techniques first-aid of combat casualties hemostatics hemostatic concept |
