在战斗中分析管道胸腔切除术的含义,以改善医院前的识别和治疗
概括
导管胸腔切除术 (胸管) 对胸部创伤的战斗伤员至关重要. 这项研究分析了注册数据,以提高对这些伤害的理解,并指导未来的医学发展.
科学领域:
- 军事医学 军事医学
- 创伤外科 手术 创伤外科
- 紧急医疗 紧急医疗
背景情况:
- 胸部创伤在战斗中很常见,导致高死亡率.
- 管胸切除术 (胸管) 是从胸部创伤的肺胸部的标准治疗方法.
- 关于需要这种干预的战斗伤亡的数据有限.
研究的目的:
- 描述战斗中伤者的胸部创伤和管胸腔切除的发生率.
- 为医院前护理提供培训和材料开发提供信息.
- 在这个人群中描述人口统计,受伤模式和干预措施.
主要方法:
- 从2007年到2020年,国防部创伤登记处 (DoDTR) 的二次分析.
- 包括在入院后24小时内接受管胸腔切除术的伤员.
- 分析了伤亡人口统计数据,缩写伤害量表 (AIS) 分数和医院前干预.
主要成果:
- 在25897名伤亡者中,有8.4% (2,178) 的人接受了管胸切除术.
- 最常见的严重伤害 (AIS>3) 是胸部 (62%),四肢 (29%),腹部 (22%) 和头部/部 (22%).
- 13%的患者在医院前进行了针切胸口切除,19%的患者有带;87%的患者存活到出院.
结论:
- 胸部创伤的战斗人员经常有多重伤害.
- 爆炸和枪伤是常见的原因,需要管胸口切除.
- 报名医务人员经常进行这些干预;需要进一步研究医院前肺胸部管理.
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