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[1]林颖,孙艳,郭凤,等.创伤合并海水浸泡致伤特点及优先处置原则[J].医学研究与战创伤救治(原医学研究生学报),2023,25(2):183-186.[doi:10.3969/j.issn.1672-271X.2023.02.015]
　LIN Ying,SUN Yan,GUO Feng,et al.Characteristics of trauma combined with seawater immersion and principle of priority treatment[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2023,25(2):183-186.[doi:10.3969/j.issn.1672-271X.2023.02.015]
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创伤合并海水浸泡致伤特点及优先处置原则()
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《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第25卷
期数:
2023年2期
页码:
183-186
栏目:
综述
出版日期:
2023-05-31

文章信息/Info

Title:
Characteristics of trauma combined with seawater immersion and principle of priority treatment
作者:
林颖; 孙艳; 郭凤; 陈剑虹
作者单位：735000酒泉，解放军联勤保障部队第九四四医院急诊科（林颖、孙艳、郭凤、陈剑虹）
Author(s):
LIN Ying;  SUN Yan; GUO Feng ;  CHEN Jianhong
(Department of Emergency, The 944th Hospital of the PLA Joint Logistic Support Force, Jiuquan 735000,Gansu, China)
关键词:
创伤; 海水浸泡; 严重低温症; 高渗性脱水
Keywords:
trauma;  seawater immersion;  hypothermia;  hyperosmotic dehydration
分类号:
R649.3
DOI:
10.3969/j.issn.1672-271X.2023.02.015
文献标志码:
A
摘要:
创伤合并海水浸泡后会进一步加剧机体损伤，由于海水的特殊性决定了海水浸泡伤的致伤特点：严重低温症、高渗性脱水、严重感染。因此，创伤合并海水浸泡伤情更加复杂，伤者致死率更高。明确海水浸泡后的致伤机制，对于创伤合并海水浸泡的救治意义重大。文章就创伤合并海水浸泡致伤特点及优先处置原则进行综述。
Abstract:
Trauma combined with seawater immersion will further aggravate the body injury. Due to the particularity of seawater, the characteristics of seawater immersion injury are determined: severe hypothermia, hypertonic dehydration, and severe infection. As a result, the combination of trauma and saltwater immersion is more complicated and the casualty fatality rate is higher. It is of profound significance to understand the injury mechanism after seawater immersion for the treatment of trauma combined with seawater immersion. In this paper, the characteristics and priority management principles of trauma combined with seawater immersion were reviewed.

参考文献/References:

[1]李勇,李国华,李明华.海水浸泡伤早期救治原则[J].临床军医杂志,2008,36(6):981-983.
[2]韦兴,侯树勋.海水浸泡火器伤的特点与救治原则[J].解放军预防医学杂志,2003(1):76-78.
[3]朱思悦.海战伤院前急救训练中标准化伤员分级评价指标体系的构建与初步应用[D].中国人民解放军海军军医大学,2019.
[4]夏照帆,马兵.现代战争条件下海战创伤救治的几点思考[J].解放军医学杂志,2016,41(12):973-976.
[5]段蕴铀,胡晓红.战伤后海水浸泡致伤情危重综合机制及整体救治的研究现状[J].中华航海医学与高气压医学杂志,2010,17(2):65-67.
[6]宁浩勇,孟宇宏,刘肖,等.火器伤合并海水浸泡后的愈合过程观察[J].中国医药导刊,2015,17(1):86-88.
[7]宁浩勇,孟宇宏,刘肖,等.创伤合并海水浸泡后愈合过程延迟的因素分析[J].转化医学杂志,2013,2(5):272-276.
[8]刘瑾红,韩善桥.海战伤细菌感染特点及抗菌药物的应用[J].人民军医,2014,57(10):1043-1044.
[9]吴敏靓,王宇翀,薛春雨.皮肤软组织损伤合并海水浸泡的救治现状及进展[J].中国美容整形外科杂志,2018,29(10):639-642.
[10]张建,喻锡成,王猛.海上落水人员低温症救治技术与装备现状及发展对策[J].医疗卫生装备,2016,37(5):121-124.
[11]Tang M, Zhao XG, He Y, et al. Aggressive re-warming at 38.5 ℃ following deep hypothermia at 21 ℃ increases neutrophil membrane bound elastase activity and pro-inflammatory factor release[J]. Springerplus，2016,5:495.
[12]Peiris AN, Jaroudi S, Gavin M. Hypothermia[J]. JAMA, 2018,319(12):1290.
[13]葛世伟,刘云,何先弟.低温对创伤患者生理功能影响的新认识[J].医学研究生学报,2013,26(1):93-97.
[14]张国丽,冯贵龙.创伤后凝血功能障碍的相关因素研究进展[J].中西医结合心脑血管病杂志,2019,17(15):2305-2307.
[15]Jin H, Hou LJ, Fu XB. Medical rescue of naval combat: challenges and future[J]. Mil Med Res, 2015,2:21.
[16]刘艳丽,田昆仑,朱娱,等.低温海水浸泡合并失血休克对大鼠致死三联征及器官功能的影响[J].第三军医大学学报,2020,42(8):752-757.
[17]陈丽娜,奂剑波,史成和,等.海水浸泡对大鼠血液指标和主要脏器组织结构的影响[J].动物医学进展,2018,39(5):64-68.
[18]虞积耀,赖西南.海战伤合并海水浸泡伤的伤情特点及救治技术研究进展[J].解放军医学杂志,2004(12):1017-1019.
[19]朱磊,盛嘉隽,杨鹏,等.美军海上严重四肢伤损伤控制策略及对我军的海上外科手术队建设的启示[J].海军医学杂志,2020,41(6):748-751.
[20]Wei M，Jiang QX，Niu N，et al. Reduction of biofilm in chronic wounds by antibacterial protease combined with silver dressing[J]．Int J Clin Exp Med，2019,12(10) : 12293-12302．
[21]Ning HY，Meng YH，Liu X，et al． Recording the healing progresschanges of the firearm wounds after seawater immersion model in Wistar rats[J]．Chin J Med Guide，2015,17(1): 86-88．
[22]虞积耀. 海战落水伤员的伤情特点及早期救治原则[C].中国体视学学会,2005:22-26.
[23]Fang Q，Yao Z，Feng L，et al． Antibiotic-loaded chitosan-gelatin scaffolds for infected seawater immersion wound healing[J]．Int J Biolog Macromol，2020,159(5):1140-1155．
[24]陈肖松,程迅生.海水浸泡开放性创伤损伤机制及治疗的研究进展[J].安徽医学,2011,32(10):1781-1783.
[25]李玉涵,窦桂芳,甘慧,等.防海水壳聚糖复合敷料对大鼠创伤愈合的促进作用[J].国际药学研究杂志,2018,45(12):934-939+948.
[26]陆蕾,孙成荣,杨波,等.创伤合并海水浸泡的抗感染治疗研究进展[J].中华航海医学与高气压医学杂志,2013,20(6):432-434.
[27]谈梦伟,卢正茂,白一帆,等.前沿手术队和损伤控制性手术在海战伤救治中作用的思考[J].西南国防医药,2019,29(11):1160-1161.
[28]宗兆文,张连阳,秦昊,等.我军战伤伤情评估和诊断方法的专家共识[J].解放军医学杂志,2018,43(3):181-188.
[29]蒋琪霞,王雅婧,刘国帧.海水浸泡伤伤口紧急处理策略[J].创伤外科杂志,2022,24(3):239-241.
[30]魏敏,蒋琪霞,王琳涛．蜂蜜对慢性伤口细菌生物膜作用的研究进展[J]．医学研究生学报，2017，30(10) : 1112-1120.
[31]张世荣,姚远,皮静.海战伤合并海水浸泡伤的研究进展[J].海军医学杂志,2022,43(11):1255-1257.
[32]岑坚,杨平地,沈建良,等．犬腹部外伤合并海水浸泡后应用血浆救治的研究［J］．解放军医学杂志,2007,32（8）:879-882．
[33]Yi L, Juan W, Gang C, et al．Seawater immersion aggravates early mitochondrial dysfunction and increases neuronal apoptosis after traumatic brain injury [J]．Cell Mol Neurobiol，2020，40(3)：447-457．
[34]Iheozor-Ejiofor Z，Newton K，Dumville JC，et al．Negative pressure wound therapy for open traumatic wounds [J].Cochrane Database Syst Rev, 2018,7(7) : CD012522．
[35]Cao MM, Peng JJ, Sun XC, et al．Application of vacuum-assistedclosure in seawater-immersed wound treatment under different negative pressures [J]．Genet Mol Res，2015，14 (2): 6146-6155．
[36]Zhou S, Nie K, Zhang W, et al．Effects of a portable peritoneal lavage device on dogs with seawater-immersed open abdominal injury [J]．Gastroenterol Res Pract，2019，26(3)：6132504.
[37]朱凌雅. 创面持续恒温加热敷料对于小鼠全层皮肤缺损创面愈合的影响[D].浙江大学,2018.
[38]Fang Q, Yao Z, Feng L, et al．Antibiotic-loaded chitosan-gelatin scaffolds for infected seawater immersion wound healing [J]. Int J Biol Macromol，2020，15(159)：1140-1155.
[39]王晓英,王蕾,晋晶,等．血小板凝胶促进海水浸泡伤小鼠软组织创伤愈合的实验研究[J]．军事医学，2020，44(3)：198-201.
[40]梅子健,蒋佳霖,张卫航,等.海藻酸盐敷料联合负压封闭引流对海水浸泡创面的抗炎效果分析[J].海军军医大学学报,2022,43(5):484-489.
[41]王莉莉,胡森,张海湃,等.电针足三里对失血性休克合并海水浸泡损伤大鼠的作用研究[J/OL].上海针灸杂志，https://doi.org/10.13460/j.issn.1005-0957.2023.13.300.
[42]方诚,李兆申,沈锋.基于大数据+人工智能的现代海战伤腹部伤情评估研究[J].海军医学杂志,2022,43(11):1249-1251.

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更新日期/Last Update: 2023-07-24