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[在北高加索反恐行动期间,师属远程医疗营为伤员提供的外科护理。(通讯3)]

[Surgical care rendered to the wounded during the antiterrorist operations in the Northern Caucasus in the distant medical battalions of divisions. (Communication 3)].

作者信息

Gumanenko E K, Samokhvalov I M, Trusov A A, Severin V V, Golovko K P

出版信息

Voen Med Zh. 2005 Sep;326(9):7-13, 80.

PMID:16276767
Abstract

Broad usage of helicopters for an evacuation of wounded from the battle orders and forward aid station directly to Multiprophyle Military Hospitals of 1-st level during armed conflicts on Northern Caucasus has essentially changed the purposes and nature of a medical care to wounded in Separate Medical Battalions (SMB) of divisions. The primary goal of SMB became valuable preparedness of wounded to an evacuation from the battle orders of a division, that was reached by moving out of the surgeons and anesthesiologists to regimental aid station and medical companies. For adding up during armed conflicts on Northern Caucasus of medico tactical conditions it was justified: 73% wounded, admitted in SMB with damages of minimal and mean severity and not required emergency operations, after rendering them of initial physician care were evacuated by helicopters to Multiprophyle Military Hospitals of 1-st level. The analysis of experience of three SMB in Armed conflict 1999-2002 has shown, that the measures of initial surgical care should appear only for saving life of injured under the specially designed indications and with observance of a number of the relevant technical features, directional on acceleration and decreasing of surgical operations severity.

摘要

在北高加索地区的武装冲突中,直升机被广泛用于将伤员从战场和前方救护站直接转运至一级多学科军事医院,这从根本上改变了师属独立医疗营(SMB)对伤员的医疗护理目的和性质。SMB的主要目标变成了让伤员做好从师战场撤离的充分准备,这通过将外科医生和麻醉师调至团救护站和医疗连得以实现。为适应北高加索地区武装冲突期间的医疗战术情况,以下做法是合理的:73%在SMB接受治疗、伤势为轻度和中度且无需紧急手术的伤员,在接受初步医生护理后,通过直升机被转运至一级多学科军事医院。对1999年至2002年武装冲突中三个SMB的经验分析表明,初始外科护理措施应仅在符合特定设计指征并遵循一系列相关技术特点的情况下实施,旨在加速并降低外科手术的严重程度,以挽救伤者生命。

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