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[1]杜小叶王娇冯婷李俊杰顾顺利党璇李志斌.基于损伤控制性复苏理念构建创伤失血性休克患者多线程救护模式[J].中国卫生质量管理,2025,32(11):64-71.[doi:10.13912/j.cnki.chqm.2025.32.11.13]
　DU Xiaoye,WANG Jiao,FENG Ting.Construction of a Multi-Threaded Rescue Model for Patients with Traumatic Hemorrhagic Shock Based on the Concept of Damage Control Resuscitation[J].Chinese Health Quality Management,2025,32(11):64-71.[doi:10.13912/j.cnki.chqm.2025.32.11.13]

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基于损伤控制性复苏理念构建创伤失血性休克患者多线程救护模式

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R] 卷: 32 期数: 2025年11期页码: 64-71 栏目: QC小组平台出版日期: 2025-11-15

Title:: Construction of a Multi-Threaded Rescue Model for Patients with Traumatic Hemorrhagic Shock Based on the Concept of Damage Control Resuscitation

作者:: 杜小叶王娇冯婷李俊杰顾顺利党璇李志斌; 空军军医大学第一附属医院

Author(s):: DU Xiaoye; WANG Jiao; FENG Ting; The First Affiliated Hospital of the Air Force Military Medical University

关键词:: 品管圈; 课题研究型品管圈; 创伤失血性休克; 损伤控制性复苏; 多线程救护

Keywords:: Quality Control Circle; Project-Based Quality Control Circle; Traumatic Hemorrhagic Shock; Damage Control Resuscitation; Multi-Threaded Rescue

分类号:: R197.323；R605.971

DOI:: 10.13912/j.cnki.chqm.2025.32.11.13

文献标志码:: B

摘要:: 目的构建创伤失血性休克（THS）患者多线程救护模式，提高救治效率。方法采用课题研究型品管圈方法，针对THS患者救治现状，从院前止血转运、急诊精准容量复苏、院内同步辅助复苏3个维度挖掘攻坚点，多方拟定对策，对患者进行干预。结果THS患者30 min输血达标率由93.5%提升至100%，低体温发生率由14.1%降低至11.9%，凝血病发生率由25.4%降低至24.3%；严重创伤患者24 h存活率由85.3%提升至91.8%。结论通过开展品管圈活动，构建了THS患者多线程救护模式，缩短了THS患者的输血等候时间，显著提高了创伤救治能力，有效降低了严重创伤患者死亡率。

Abstract:: ObjectiveTo construct a multi-threaded rescue model for patients with traumatic hemorrhagic shock (THS) to improve treatment efficiency.MethodsA project-based quality control circle (QCC) approach was employed. Based on the current status of THS patient treatment, key challenges were identified from three dimensions: pre-hospital hemostasis and transportation, precise volume resuscitation in the emergency department, and synchronized in-hospital adjuvant resuscitation. Countermeasures were formulated through multi-party collaboration and implemented for patient intervention.ResultsThe 30-minute blood transfusion compliance rate for THS patients increased from 93.5% to 100%, the incidence of hypothermia decreased from 14.1% to 11.9%, and the incidence of coagulopathy dropped from 25.4% to 24.3%. Additionally, the 24-hour survival rate for patients with severe trauma improved from 85.3% to 91.8%.Conclusion Through the implementation of QCC activities, a multi-threaded rescue model for THS patients was established, which shortened the waiting time for blood transfusion, significantly enhanced trauma treatment capabilities, and effectively reduced mortality rates among patients with severe trauma.

参考文献/References:

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更新日期/Last Update: 2025-11-15