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美军早期救治机构在重型颅脑创伤救治中的作用及启示
陈超,陈菊祥*
0
(海军军医大学(第二军医大学)第一附属医院神经外科, 上海 200433
*通信作者)
摘要:
重型颅脑创伤是战时威胁战士生命的首要伤情。在美军“伊拉克自由行动”和“持久自由军事行动”中,虽然早期救治机构未配置神经外科专科力量,但通过早期介入和积极有效的救治策略稳定伤员病情,为后续确定性治疗打下了基础,使战士重型颅脑创伤的救治效果甚至优于同期平民。笔者分析了美军早期救治机构在重型颅脑创伤救治中的价值、任务和存在的问题,以期为我军重型颅脑创伤卫勤保障能力的提高提供有益参考。
关键词:  重型  颅脑创伤  救治策略  早期救治机构  军队卫生勤务
DOI:10.16781/j.CN31-2187/R.20201367
投稿时间:2020-11-13修订日期:2021-11-27
基金项目:
Role and enlightenment of early medical treatment facilities of US military in treatment of severe traumatic brain injury
CHEN Chao,CHEN Ju-xiang*
(Department of Neurosurgery, The First Affiliated Hospital of Naval Medical University (Second Military Medical University), Shanghai 200433, China
*Corresponding author)
Abstract:
Severe traumatic brain injury (sTBI) is the leading cause of death in combat casualties.Although no neurosurgeon was deployed in early medical treatment facilities (MTF) during Operation Iraqi Freedom and Operation Enduring Freedom,early intervention with active and effective treatment strategies resulted in improved the outcomes in soldiers suffering sTBI,even better than civilians in the same period.In this article,the author reviewed the significance,task lists and problems of US military early MTF,so as to provide reference for our military medical service in sTBI.
Key words:  severe  traumatic brain injury  treatment strategies  early medical treatment facility  military medical service