关于军事气道研究的广泛审查
R Jimena Huaman1,2, Michael D April3, Julie A Rizzo4
1The Metis Foundation, San Antonio, TX 78216, United States.
Military medicine
|February 5, 2026
概括
有效的战场气道管理对于生存至关重要. 腹腔内输管是最常见的,但培训和设备缺口仍然存在,需要标准化的协议来改善战斗伤亡人员的护理.
科学领域:
- 军事医学 军事医学
- 紧急医疗 紧急医疗
- 创伤护理 创伤护理
背景情况:
- 空气道的妥协在战场上提出了一个关键的,危及生命的挑战.
- 有效的气道管理对于减少在战场上可预防的死亡至关重要.
- 本综述综合了关于战场空气道干预的当前文献.
研究的目的:
- 审查和总结关于在部署的战斗环境中使用的气道管理策略的现有文献.
- 在军事行动的背景下,确定常见的气道干预及其报告结果.
主要方法:
- 根据PRISMA-ScR检查清单进行了范围审查.
- 在PubMed和谷歌学者中,文学搜索跨越了2001-2025年,专注于全球反恐战争时代.
- 包括报告在战斗环境中对气道干预的研究.
主要成果:
- 三十项研究符合纳入标准,评估了内内管道 (ETI),cricothyrotomy和supraglottic气道.
- 最常见的报道是ETI手术,主要由医务人员进行.
- 甲状腺切除术的发生率较低,但并发症率较高;发现了培训和技术上的差距.
结论:
- 标准化呼吸道协议和加强训练对于改善战斗伤亡者的生存率至关重要.
- 解决培训,文档和设备访问方面的缺口至关重要.
- 虽然ETI很常见,但甲状腺切除术和甲状腺气道的成功率变化需要进一步优化.
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