损伤控制技术的发展现状及体系构建探讨

Current status and system construction of damage control techniques

  • 摘要: 随着世界新军事革命加速推进,未来战争形态正发生深刻变化。俄乌冲突表明,传统阶梯分级救治模式已难以适应未来战场对大批量伤员救治的需求,亟需构建快速响应、精准干预、有效挽救伤员生命的损伤控制医学(damage control medicine,DCM)技术体系。损伤控制医学以致命性战伤救治为研究对象,以“控制损伤-复苏优先-分期修复”为核心理念,阻断“死亡四联征”。本文围绕损伤控制医学技术体系的生成逻辑与核心要义,系统分析其在现代战争背景下的建设必要性与技术支撑。DCM不仅是外科技术的延伸,更是多学科融合的产物,未来,DCM将依托大数据、人工智能、远程医疗等技术,构建“人机协同”的智能救治体系,为提升伤员生存率、保障作战效能发挥重要的支撑作用。

     

    Abstract: With the rapid advancement of the new global military revolution, the character of future warfare is undergoing profound transformations. The conflict in Ukraine has demonstrated that traditional tiered evacuation and treatment models are increasingly inadequate for meeting the demands of mass casualty care on future battlefields. There is an urgent need to establish a damage control medicine (DCM) technical system characterized by rapid response, precise intervention, and effective life-saving measures. Focusing on the treatment of lethal combat injuries, DCM adopts the core philosophy of "damage control—resuscitation priority—staged repair" to interrupt the "lethal triad" (or "death quartet"). This paper centers on the generative logic and core essence of the DCM technical system, systematically analyzing its necessity and technological underpinnings within the context of modern warfare. DCM represents not merely an extension of surgical techniques but a product of multidisciplinary integration. Looking ahead, DCM will leverage technologies such as big data, artificial intelligence, and telemedicine to construct an intelligent "human-machine collaborative" treatment system. This evolution will provide robust support for enhancing survival rates among wounded personnel and ensuring operational effectiveness.

     

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