解放军医学院学报
解放軍醫學院學報
해방군의학원학보
Academic Journal of Chinese Pla Medical School
2013年
6期
625-627,631
,共4页
战创伤%急救%气管切开术%环甲膜穿刺术%环甲膜穿刺管%撑开钳
戰創傷%急救%氣管切開術%環甲膜穿刺術%環甲膜穿刺管%撐開鉗
전창상%급구%기관절개술%배갑막천자술%배갑막천자관%탱개겸
wounds%first aid%tracheostomy%thyrocricocentesis%backward guiding dilational tracheostomy%spreader forceps
目的探索并研发一项可用于战创伤紧急救治的新型气管切开装置及其使用方法。方法分别对6只杂种犬(10~20 kg)和6只小型猪(15~30 kg)实施环甲膜穿刺反向引导气管切开术，并建立气道。结果从插入穿刺管到完成气管插管，杂种犬用时(153.83±32.90) s，小型猪用时(173.83±34.07) s。所有实验动物均成功建立通畅的呼吸通道，无严重出血和其他并发症，通过纤维支气管镜也未观察到气管壁损伤。结论此方法快速、简单、安全，所有操作可由一人完成，大大提高了建立紧急呼吸通道的速度，有望在完善后应用于战创伤急救中建立快速气道。
目的探索併研髮一項可用于戰創傷緊急救治的新型氣管切開裝置及其使用方法。方法分彆對6隻雜種犬(10~20 kg)和6隻小型豬(15~30 kg)實施環甲膜穿刺反嚮引導氣管切開術，併建立氣道。結果從插入穿刺管到完成氣管插管，雜種犬用時(153.83±32.90) s，小型豬用時(173.83±34.07) s。所有實驗動物均成功建立通暢的呼吸通道，無嚴重齣血和其他併髮癥，通過纖維支氣管鏡也未觀察到氣管壁損傷。結論此方法快速、簡單、安全，所有操作可由一人完成，大大提高瞭建立緊急呼吸通道的速度，有望在完善後應用于戰創傷急救中建立快速氣道。
목적탐색병연발일항가용우전창상긴급구치적신형기관절개장치급기사용방법。방법분별대6지잡충견(10~20 kg)화6지소형저(15~30 kg)실시배갑막천자반향인도기관절개술，병건립기도。결과종삽입천자관도완성기관삽관，잡충견용시(153.83±32.90) s，소형저용시(173.83±34.07) s。소유실험동물균성공건립통창적호흡통도，무엄중출혈화기타병발증，통과섬유지기관경야미관찰도기관벽손상。결론차방법쾌속、간단、안전，소유조작가유일인완성，대대제고료건립긴급호흡통도적속도，유망재완선후응용우전창상급구중건립쾌속기도。
Objective To develop a novel tracheostomy device for rapid airway establishment in first aid of war traumas. Methods Airway was established in 6 hybrid dogs weighing 10-20 kg and 6 miniature pigs weighing 15-20 kg in backward guiding tracheostomy with thyrocricocentesis. Results The operation time was (153.83±32.90) s and (173.83±34.07) s, respectively, for hybrid dogs and miniature pigs. The airway was successfully established in all animals without massive bleeding or other complications. No damage to tracheal wall was observed under fiber bronchoscope. Conclusion Backward guiding tracheostomy is a rapid, simple and safe procedure for airway establishment, and can thus be used in first aid of war traumas.
