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战伤引起的急性凝血病是导致重度失血伤员死亡的关键因素。美军在2006年提出了以预防急性凝血病为前提的战伤休克救治方案,即损伤控制性复苏方案,大大降低了重度失血伤员的死亡率。本文综述了凝血病对战伤救治效率的影响、凝血病产生的机制、损伤控制性复苏方案及其战伤救治中的应用等,并讨论了损伤复苏方案对我军野战输血研究的启示。
Acute coagulopathy caused by war injuries is the key factor leading to the death of severe blood loss. In 2006, the U.S. military proposed a war-wounded shock treatment program based on the prevention of acute coagulopathy, namely a controlled and controlled resuscitation program, which greatly reduced the mortality of critically ill patients with blood loss. This article reviews the impact of coagulation on the treatment efficiency of war injuries, the mechanism of coagulopathy, the program of controlled recovery of injury and its application in the treatment of war injuries. The enlightenment of injury recovery program on the study of our military field transfusion is also discussed.