低温症和全球反恐战争:18年来最少的进展
Luke Pumiglia1, James M Williams1, Beau J Prey1
1Department of Surgery, Madigan Army Medical Center, Joint Base Lewis-McChord, WA 98431, USA.
Military medicine
|August 20, 2024
概括
低温仍然是战斗创伤的重大挑战,影响生存率. 使用全血 (WB) 和组分疗法的复苏显示了低温患者的死亡率相似,尽管WB组.
科学领域:
- 创伤和紧急医疗医学
- 军事医学 军事医学
- 生理学 生理学 生理学
背景情况:
- 在创伤患者中,低温症,凝血病和酸性疾病是相互关联的.
- 医院前低温缓解往往是对其他救命干预的次要作用.
- 部署的环境在战斗伤亡中对低温的管理提出了独特的挑战.
研究的目的:
- 为了评估战斗人员伤亡的低温症.
- 分析低温和使用血液制品的复苏策略之间的关系.
主要方法:
- 来自国防部联合创伤登记处 (2003-2021) 的成年创伤患者的回顾性分析.
- 纳入标准:抵达第一个军事治疗设施 (MTF) 低温 (<95oF).
- 亚组分析比较了全血 (WB) 与严重受伤的低温患者的组分疗法复苏.
主要成果:
- 在69364名患者中,1.3%的患者出现了低温;93.3%的患者出现了轻度低温 (90-94.9°F).
- 总体死亡率为14.8%.
- 在WB和组分疗法组之间,死亡率相似,尽管WB队列中的基数赤字较大.
结论:
- 低温是军事创伤中持续存在的挑战,死亡率高.
- 全血和成分疗法在低温创伤患者中显示了类似的结果.
- 在部署的环境中,进一步研究低温减缓和复苏策略至关重要.
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