体外膜肺氧合在危重伤病员救治和转运中的应用及其对我军战创伤救治的启示

吴蔚; 何萍

doi:10.16016/j.1000-5404.201807078

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体外膜肺氧合在危重伤病员救治和转运中的应用及其对我军战创伤救治的启示

军事医学 | 更新时间：2026-01-09

- 体外膜肺氧合在危重伤病员救治和转运中的应用及其对我军战创伤救治的启示
- Application of ECMO in critically ill patients and its enlightenment for combat casualty care in our army
- 第三军医大学学报 2019年41卷第1期页码：1-6
- 作者机构：
  
  1.400038 重庆，陆军军医大学(第三军医大学)第一附属医院：胸外科
  2.400038 重庆，陆军军医大学(第三军医大学)第一附属医院：心脏外科
- 作者简介：
  
  [ 吴蔚，男，博士，副主任医师，副教授，硕士研究生导师。兼任中国医师协会体外生命支持分会委员、中国胸心血管麻醉协会体外生命支持分会委员、川渝体外生命支持分会副主任委员、重庆市中西医结合学会胸外科专委会副主任委员等学术职务；主持国家自然科学基金2项，重庆市基金1项，院校课题4项。主要从事普胸外科及体外生命支持技术方面的临床工作；科研方面主要致力于肺癌干细胞和化疗耐药研究。E-mail：wuweiyahoo@sohu.com WU Wei, E-mail:wuweiyahoo@sohu.com
- 基金信息：
  
  西南医院军事医学重大领域技术创新计划重点项目(SWH2017ZDCX2002);西南医院重大领域技术创新项目(SWH2016ZDCX1001)
- DOI：10.16016/j.1000-5404.201807078
  中图分类号： R459.7;R654.1;R826.1
- 收稿：2018-08-17，
  
  修回：2018-10-17，
  
  纸质出版：2019-01-15
- 稿件说明：
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吴蔚, 何萍. 体外膜肺氧合在危重伤病员救治和转运中的应用及其对我军战创伤救治的启示[J]. 第三军医大学学报, 2019,41(1):1-6.

Wei WU, Ping HE. Application of ECMO in critically ill patients and its enlightenment for combat casualty care in our army[J]. Journal of Third Military Medical University, 2019, 41(1): 1-6.
吴蔚, 何萍. 体外膜肺氧合在危重伤病员救治和转运中的应用及其对我军战创伤救治的启示[J]. 第三军医大学学报, 2019,41(1):1-6. DOI： 10.16016/j.1000-5404.201807078.

Wei WU, Ping HE. Application of ECMO in critically ill patients and its enlightenment for combat casualty care in our army[J]. Journal of Third Military Medical University, 2019, 41(1): 1-6. DOI： 10.16016/j.1000-5404.201807078.

摘要

中国近70年来发展经济的基本经验可以从十个方面总结，包括成功地进行三次经济变革，发挥作为生产力的科学技术和作为第一生产力的科学技术双重叠加的作用，实现工业化与现代化的相互促进，实现工业化与城镇化的相互促进，实现丰富劳动力资源的大幅增长与各层次教育的迅速发展相结合，实现丰富的国土资源、广阔的天空资源与工业化、现代化技术相结合，发挥优秀文化传统的作用，得益于经济全球化空前未有的大发展，得益于长期的国际和平环境，以及发挥中国化马克思主义的根本指导作用。

Abstract

The treatment and transportation of the sick and wounded with severe cardiopulmonary failure

because of high mortality rate

is always a difficult issue in combat casualty care. Extracorporeal membrane oxygenation (ECMO)

as a technique for cardiopulmonary life support

can partially support cardiac and pulmonary functions in those patients. So

ECMO has been maturely applied in the treatment and transportation of these patients in developed countries and their armies. China started late

but developed rapidly in its utilization. The characteristics of ECMO application in treatment and transportation in the foreign countries are as follows: ①ECMO can be used in all the diseases involving respiratory and circulatory failure. ②Because ECMO transport involves the critical illness

many links and far distances

complications commonly occur

even lead to death in some serious cases during the transport. In order to reduce the incidence of the transport complications

professional transport teams have been set up in large centers and armies of developed countries to undertake transport tasks. ③Corresponding to different transport distances

different transport modes are established. In wartime

air transport is often chosen. The above experience has inspired our army in the treatment of severe heart and lung failure. The ideas of enlightenment include: ①The incidence of severe respiratory failure and heart failure has been greatly increased due to the changes of injury factors in modern war and the operational environment

and application of ECMO in the treatment and transport can reduce the morbidity and mortality. ② Combining the characteristics of our military operations

ECMO can provide powerful and stable cardiopulmonary support

quickly relieve the symptoms such as hypoxia and heart failure

and fully ensure the patients' safety on the way back for dying critically ill patients

and those suffering from such as severe high altitude pulmonary edema

sea drowning and/or hypothermia

and inhalation injury. ③ Capable

professional and quick-response ECMO teams for transport and treatment should be set up. ④There is an urgent need to establish ECMO air transport process.

关键词

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references

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