摘要
目的探讨濒海实地战创伤三级救治的应用价值。方法建立邻近靶场的一级救治场所——移动医院，将40只新西兰兔按濒海实地腹部枪弹伤模型致伤后，随机分成两组，传统救治组20只，救治的一级至三级医院分别为：现场救治一宁德442医院一福州总医院；移动医院组20只，救治的一级至三级医院分别为：（现场救治＋移动医院）一宁德442医院一福州总医院。统计两组新西兰兔打捞至开腹所用时间、术后10d内的救治成功率和存活天数。结果传统救治组与移动医院组打捞至开腹所用时间分别为（33．59±5．93）、（13．58±6．20）min（P〈0．01）；救治成功率分别为55％和85％（P〈0．05）；存活天数分别为（6．55±4．07）、（8．90±2．77）d（P〈0．05）。结论建立离战场近且安全的移动医院，有助于提高濒海战创伤三级救治的救治效率。
Objective To evaluate the effects of three-level treatment for abdominal gunshot wounds in the littoral zone. Methods A mobile hospital was set up near a shooting range for primary treatment. Forty New Zealand rabbits were anaesthetized, dipped into sea water, and underwent abdominal gunshot. Afrter immersion in sea water for 30 min the rabbits were fished out and randomly divided into 2 equal groups： Traditional Treatment Group transported, after field treatment, to No. 442 Hospital of PLA, a second class A level hospital, and then transferred to the Fuzhou General Hospital, a third class A hospital; and Mobile Hospital Group, transported, after field treatment and treatment in a mobile hospital, to No. 442 Hospital of PLA, and then transferred to the Fuzhou General Hospital at last. The time from salvage to laparotomy, treatment success rate 10 days after surgery, and survival duration were observed and compared. Results The time from salvage to laparotomy of the Mobile Hospital Group was （13.58 ± 6.20） min, significantly shorter than that of the Traditional Treatment Group [（33.59±5.93） min, P〈 0.01]. The treatment success rate of the Mobile Hospital Group was 85%, significantly higher than that of the Traditional Treatment Group [ 55%, P 〈 0.05]. The survival duration of the Mobile Hospital Group was （8.90±2.77） days, significantly longer than that of the Tradional Treatment Group [（6.55 ± 4.07） days, P〈 0.05]. Conclusion Establishing a mobile hospital near the battlefield improves the efficiency of three-level treatment for littoral war wounds.
出处
《中国急救复苏与灾害医学杂志》
2016年第1期36-38,共3页
China Journal of Emergency Resuscitation and Disaster Medicine
基金
南京军区医学科技创新项目（13ZX29）,南京军区医学科技创新项目（14ZX25）
关键词
移动医院
三级救治
枪伤
Mobile hospital
Three-level treatment
Gunshot wound
