【摘要】：目的：根據(jù)南方濕熱環(huán)境下戰(zhàn)傷感染與休克的實(shí)驗(yàn)研究成果和歷次戰(zhàn)爭(zhēng)以及外軍濕熱環(huán)境下作戰(zhàn)的經(jīng)驗(yàn)教訓(xùn)，探討我軍南方濕熱環(huán)境下師以下部隊(duì)傷員醫(yī)療后送體制的不足并提出改進(jìn)意見。 資料與方法：通過文獻(xiàn)查閱與部隊(duì)調(diào)研，運(yùn)用邏輯學(xué)和運(yùn)籌學(xué)方法，根據(jù)第一軍醫(yī)大學(xué)南方醫(yī)院骨科及高溫研究室對(duì)濕熱環(huán)境下模擬戰(zhàn)傷動(dòng)物實(shí)驗(yàn)的結(jié)果，結(jié)合1979年和1984年西南邊境自衛(wèi)反擊戰(zhàn)和美侵越戰(zhàn)爭(zhēng)中師以下部隊(duì)傷員醫(yī)療后送的經(jīng)驗(yàn)教訓(xùn)，分析了我軍現(xiàn)有醫(yī)療后送體制中的戰(zhàn)傷分類、分級(jí)救治、后送工具、救治技術(shù)、系統(tǒng)環(huán)境的缺陷和不足。 結(jié)果與分析：根據(jù)濕熱環(huán)境下戰(zhàn)傷感染和休克的特點(diǎn)，戰(zhàn)傷傷員需要在3～4小時(shí)進(jìn)行早期清創(chuàng)，休克傷員60分鐘內(nèi)必須補(bǔ)液。因此我軍現(xiàn)行的6～8小時(shí)內(nèi)在師救護(hù)所實(shí)行早期清創(chuàng)和3～4小時(shí)內(nèi)在團(tuán)救護(hù)所補(bǔ)液的體制不適合南方濕熱環(huán)境下戰(zhàn)傷感染與休克的救治要求。 對(duì)策和建議：1．在連搶救組即進(jìn)行分類，以便分出需及時(shí)進(jìn)行清創(chuàng)和抗休克治療的重傷員；2．取消營救護(hù)所，減少后送階梯，提高后送速度；3．提高后送工具的質(zhì)量和數(shù)量；4．優(yōu)化救護(hù)場(chǎng)所的舒適性，，減少微小濕熱環(huán)境對(duì)傷員的影響；5．改進(jìn)抗感染與抗休克技術(shù)，及時(shí)有效地對(duì)傷員進(jìn)行救治。
[Abstract]:Objective: according to the experimental research results of war wound infection and shock in the humid-hot environment of southern China and the experience and lessons of the past wars and the combat in the humid-hot environment of foreign troops, This paper probes into the shortcomings of the medical evacuation system for the wounded under the humid and hot environment in the south of our army, and puts forward some suggestions for improvement. Materials and methods: through literature review and military investigation, logic and operational research methods were used to simulate the animal experiment of war injury in wet and hot environment according to the results of orthopaedics and high temperature laboratory of Southern Hospital of the first military Medical University. Based on the experience and lessons of medical evacuation of the wounded in the southwest border self-defense counterattack war and the US invasion and Vietnam War in 1979 and 1984, this paper analyzes the classification of war injuries, hierarchical treatment, evacuation tools and treatment techniques in the existing medical evacuation system of our army. The defects and shortcomings of the system environment. Results and analysis: according to the characteristics of war injury infection and shock in humid and hot environment, the war wounded should be debridged early in 3 hours and 4 hours, and the shock wounded must be rehydration within 60 minutes. Therefore, the current system of early debridement in division ambulance and rehydration in regiment ambulance within 6 hours and 4 hours in regiment ambulance is not suitable for the treatment of war injury infection and shock in the humid and hot environment of the south. Countermeasures and suggestions: 1. Classify in the company rescue group in order to identify the seriously injured who need to be treated with debridement and antishock treatment in time. 2. Cancel the rescue and nursing center, reduce the evacuation ladder, and improve the evacuation speed; 3. Improve the quality and quantity of evacuation tools; 4. Optimize the comfort of ambulance sites and reduce the impact of micro-humid and hot environment on the wounded; 5. improve anti-infection and antishock techniques to treat the wounded in a timely and effective manner.
【學(xué)位授予單位】：第一軍醫(yī)大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2004
【分類號(hào)】：R82

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