【摘要】 从急救时效性规律和我军面临的军事挑战出发,探讨自救互救的新概念,以指导我军现代战争中自救互救与战伤救护的衔接。回顾我军战伤自救互救的概念及特点,分析外军在近年局部战争中现场急救、士兵自救互救理论的变化,根据我军面临的军事斗争的新挑战和可能的战争局面以及"卫勤使命-2014"演习成果,提出火线急救应遵循急救的时效性规律,按照自救互救原则采用急救技术,服用细胞保护剂,有条件时进行口服补液,针对危及生命的出血、窒息、气胸、休克等急危重症进行现场救治,达到救治或稳定伤病员生命、阻止二次损伤、维护器官功能的目标,从而保证战术(战场)战斗力。"白金十分钟"、"黄金一小时"已经成为我军现场救治的时效值要求。从时效性规律完善我军的自救互救概念和卫勤保障,并与战场救护进行衔接,对于维护和加强一线作战部队战斗力有巨大作用,同时还能降低阵亡率、伤死率、伤残率。战伤的自救互救作为战士生命的依托,是完成战斗目标的必备技能和精神支柱,具有不可替代的战争激励作用。更多还原

【Abstract】 Explore new concept of self-aid and buddy-aid for combat wounded based on the emergency timeliness and the challenges we are going to face in the future combats, the importance of self-aid, buddy-aid and rescue are discussed. The concept and characteristics of self-aid and buddy-aid in our army are reviewed, and the care of the wounded in foreign armies were reviewed. Based on the experiences gained from previous combats, and the results of "Medical Service Mission-2014 Drill", it was believed that the emergency rescue of battle wounded should follow the timeliness rule and the principle of self-aid and buddy-aid technology. It might be beneficial to use cell protective agent, urgent relief of life-threatening conditions such as profuse bleeding from extremities, suffocation, pneumothorax, and traumatic shock etc., in order to stabilize the general condition of the wounded, according to the regime of "Platinum 10 minutes" and "golden 1 hour", self-aid and buddy-aid might play an important role in preventing early death and late morbidity of the wounded, thus helps reduce the mortality rate or the victims of combat wounds.更多还原