-
摘要: 目的:研制一套适应野战时运输伤员过程中使用的快速输血输液加压装置,提高我军野战条件下救治效率和安全性。方法:选择碳纤维材料作为加压板,高强度扭力弹簧提供压力,加压板大小适用于不同规格的血袋和输液袋。输血器与血袋连接处独立配备声光报警器,探测到空气即刻发出声光报警并及时卡住输血管,在加压板的下沿设计断流磁条,输血完毕及时卡住血袋下沿以防止空气输入,确保输注安全。设计完成后的原理样机与现有加压装置进行平行对比测试比较。结果:本研究设计的加压装置可提供5~10 Kpa的施压强度,可以提高输血输液速度3倍以上,输注过程无需电力和人员干预,输注完毕及时报警,克服了现有设备的不足,达到了快速输血输液的目的,加压过程对血液质量基本没有影响。结论:该输血加压装置很好地解决了紧急抢救情况下快速输血输液的问题,操作简单,功能齐全,与现有装置比较各有利弊,本研究设计的加压装置更适用于战时营连级救护所以及伤员在转运过程中使用,值得作为后勤战备急救器材和平时急救物资使用。Abstract: Objective: To development a set of rapid transfusion device in order to improve the treatment efficiency and safety under the military field conditions and the transportation of the wounded.Methods: The light and rigid carbon fiber material as the pressure plate and the torsion spring provided pressure high strength. The pressing plate accommodated different sizes of transfusion bags. The sound and light alarm set were connected with the transfusion pipeline immediately audible alarm and clamp the infusion links when detected air through.Results: The pressurizing device was designed to provide a compressive strength of 5-10 Kpa. The transfusion speed improved more than three times after using this apparatus. The power and the process were without human intervention and alarm occurredin time after infusion, so that it made up the disadvantages of existing equipment. The device achieved the purpose of rapid transfusion. There was no effect on the blood quality.Conclusion: The blood pressure device solved the problem of rapid transfusion in case ofemergency treatment. Its pressing process was without human intervention, easy to use, full functioning, especially applied to the battalion aid station even under the field conditions and used of the wounded during transporting. It was more suitable as anemergenceaid equipment for logistics war preparedness and peacetime material.
-
Key words:
- wartime /
- emergencies /
- blood transfusion /
- pressuredevice /
- blood quality
-
[1] 辛峰,高海燕,孔燕,等.血液成分的输血比例对大量输血患者死亡率影响[J].临床血液学杂志,2017,30(10):815-819.
[2] 阎少多,赵慧,张玉华,等.美国军队血液保障技术发展情况介绍[J].人民军医,2019,62(4):311-313,317.
[3] 鸾建凤,李芳,孙金苏,等.军队血液保障训练教材[M].北京:解放军出版社,2014:62-66.
[4] 刘传兰,陆皓,张世范,等.手控双相式正负压力泵系列装置的研制与应用[J].医疗卫生装备,2015,36(4):37-39.
[5] 刁春红,付志刚,关洋,等.一种具有加压功能的采输血器设计与应用[J].医疗卫生装备,2016,37(5):43-44,113.
[6] 马印图,陈晓飞,王更银,等.加压输血对红细胞及血液质量影响的研究[J].临床血液学杂志,2020,33(4):566-569.
[7] 张玉华,徐雷,周虹,等.现代战争条件下美军野战输血保障情况分析与思考[J].军事医学,2014,38(6):474-477.
[8] 黄丽慧,王爱红,徐林燕.输血不良反应的持续改进与分析[J].临床血液学杂志,2018,31(4):292-294.
[9] 孙文明,王兴永,陶学强.卫生装备器材全流程管理系统总体设计[J].医疗卫生装备,2018,39(4):50-53.
[10] 何丽苇,王顺,陈会欣.某三甲医院输血不良反应回顾性分析[J].临床血液学杂志,2018,31(6):904-906.
[11] Mer M,Hodgson E,Wallis L,et al.Hemoglobin glutamer-250(bovine)in South Africa:consensus usage guidelines from clinician experts who have treated patients[J].Transfusion,2016,56(10):2631-2636.
[12] 曹惺国,周亮,胡坤鹏,等.外军伴随卫勤保障装备现状与特点[J].中国医疗设备,2018,33(2):111-116.
[13] Beckett A,Callum J,da Luz LT,et al.Fresh whole blood transfusion capability for Special Operations Forces[J].Can J Surg,2015,58(3 Suppl 3):S153-S156.
计量
- 文章访问数: 421
- PDF下载数: 378
- 施引文献: 0