Sternbach G
Department of Emergency Services, Stanford University Medical Center, CA 94305.
J Emerg Med. 1984;1(5):439-42. doi: 10.1016/0736-4679(84)90207-5.
Military antishock trousers (MAST) have been used in emergency care for only a little more than a decade. However, the initial report of the medical use of an inflatable compression garment appeared in 1903, when George W. Crile utilized a pneumatic rubber suit to augment the blood pressure of patients undergoing head and neck surgery. Technical difficulties occasionally produced precipitous deflation of the garment, but Crile maintained that the device was otherwise free of adverse effects. Since then, a number of complications have been ascribed to the suit, including reduction of vital capacity, metabolic acidosis, skin necrosis, renal failure, vascular thrombosis, and fascial compartment syndrome. None of these have occurred with sufficient frequency to substantially restrict the use of the suit. The mechanism by which the pneumatic garment produces an elevation in blood pressure-ascribed by Crile to elevation of peripheral resistance-continues to be a subject for research.
军事抗休克裤（MAST）在急救护理中的应用仅有十多年时间。然而，充气加压服用于医疗用途的最初报告出现在1903年，当时乔治·W·克里尔使用了一种气动橡胶服来提高接受头颈手术患者的血压。技术难题偶尔会导致该服装突然放气，但克里尔坚称该装置在其他方面没有不良反应。从那时起，该服装出现了一些并发症，包括肺活量降低、代谢性酸中毒、皮肤坏死、肾衰竭、血管血栓形成和筋膜间隔综合征。这些并发症均未频繁发生到足以实质性限制该服装的使用。克里尔认为气动服装使血压升高的机制是外周阻力增加，这仍然是一个研究课题。
