在战术战斗伤亡护理中补充
Riccardo De Luca1, Paolo Rossi1, Angelo Falcone1
1Italian Army.
概括
创伤引起的低血症会使严重受伤患者的结果恶化. 本综述审查了补充的补充剂.
科学领域:
- 创伤医学 创伤医学
- 关键的护理关键的护理
- 军事医学 军事医学
背景情况:
- 低血症与创伤患者的死亡率增加有关.
- 创伤诱导的低热血症加剧了致命的三重症 (凝血病,酸性,低温) 并损害了心血管功能.
- 战术战斗伤亡护理 (TCCC) 协议解决出血和休克,包括血液制品和,以防止酸盐毒性.
研究的目的:
- 审查军事创伤护理中补充的证据.
- 为了评估通用管理的好处和风险,即使没有血液制品.
主要方法:
- 关于,创伤和军事医学研究的文献综述.
- 关于在凝血和血液动力稳定中的作用的证据分析.
- 检查与在作战环境中使用相关的潜在风险和挑战.
主要成果:
- 对于凝血和血液动力学稳定性至关重要.
- 低血症与创伤人群中较高的死亡率有显著的相关性.
- 在普遍补充方面存在争议,特别是当血液制品无法获得时.
结论:
- 在管理创伤诱导的低血症及其对致命三位一体的影响方面发挥着至关重要的作用.
- 需要进一步的证据来建立最佳的管理协议在军事创伤护理.
- 在战场医学中平衡益处与风险对于指导的使用至关重要.
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