| 摘要: |
| 在近代以来的战争中，血管创伤发生率逐渐升高，在火线救治阶段利用止血带对四肢和交界区大出血止血成为挽救伤员生命的有效手段。现代战争的复杂环境对新型止血带提出了智能化、集成化、轻量化、微型化、重复使用、舒适度好、稳定性强、成本低等要求，在此背景下，本文对美军战术战伤救治指南推荐的止血带、俄军使用的止血带、我军常用止血带以及目前未正式纳入指南但对研发有启发意义的止血带进行综述，总结现有止血带的优缺点，为新型止血带的研制提供参考。 |
| 关键词: 战创伤急救 血管创伤 止血带 止血器具 |
| DOI：10.16781/j.CN31-2187/R.20211137 |
| 投稿时间：2021-11-09修订日期：2022-07-01 |
| 基金项目:海军后勤部技术产品研究项目(BHJ20C008). |
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| Characteristics and research progress of tourniquets for combat casualty care |
| NIE Shao-jie,BAI Jun,WANG Liang,ZOU Si-li,QU Le-feng* |
(Department of Vascular and Endovascular Surgery, The Second Affiliated Hospital of Naval Medical University (Second Military Medical University), Shanghai 200003, China
*Corresponding author) |
| Abstract: |
| The incidence of vascular trauma is increasing in modern warfare, and tourniquets have become the most effective adjuncts to save lives of the wounded by preventing extremity or junctional hemorrhage at the stage of first-line treatment. Due to the complex environment of modern war, tourniquets should be of intelligence, integration, lightweight, miniaturization, reuse, well patient tolerance, strong stability, and low-cost. This review summarizes the research progress on tourniquets, including those recommended by the tactical combat casualty care guidelines, used by the Armed Forces of the Russian Federation and the Chinese People’s Liberation Army, and those currently not included in the guidelines but inspirational for research and development. We also list the advantages and disadvantages of those tourniquets, hoping to provide reference for the development of new tourniquets. |
| Key words: first-aid of combat casualties vascular trauma tourniquets hemostatic devices |
