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中国科技核心期刊

中国科学引文数据库(CSCD)来源期刊

中华重症医学电子杂志 ›› 2017, Vol. 03 ›› Issue (02): 122 -126. doi: 10.3877/cma.j.issn.2096-1537.2017.02.009

所属专题: 中国重症基层诊疗流程 指南规范 文献资源库

基层诊疗流程 上一篇    下一篇

多发伤急性期诊治流程
胡波 1, 张丽娜 2, 郑瑞强 3, 翟茜 4, 杨向红 5, 虞文魁 6, 张丹 7, 尹海燕 8, 彭志勇 1, 隆云 9 , ( ), 重症基层协作组   
  1. 1. 430071 武汉大学中南医院重症医学科
    2. 410008 长沙,中南大学湘雅医院重症医学科
    3. 225001 扬州,苏北人民医院重症医学科
    4. 250012 济南,山东大学齐鲁医院重症医学科
    5. 310014 杭州,浙江省人民医院重症医学科
    6. 210002 南京军区总医院重症医学科
    7. 400016 重庆医科大学附属第一医院重症医学科
    8. 510220 广州红十字会医院重症医学科
    9. 100730 中国医学科学院 北京协和医学院 北京协和医院重症医学科
  • 收稿日期:2017-01-04 出版日期:2017-05-28
  • 通信作者: 隆云
  • 基金资助:
    北京协和医学院2016年度教学质量工程项目(2016zlgc0713)

Diagnosis and treatment protocol for acute multi-trauma

Bo Hu 1, Lina zhang 2, Ruiqiang Zheng 3, Qian Zhai 4, Xianghong Yang 5, Wenkui Yu 6, Dan Zhang 7, Haiyan Yin 8, Zhiyong Peng 1, Yun Long 9 , ( ), Critical Care County Working Group   

  1. 1. Department of Intensive Care Unit, Zhongnan Hospital of Wuhan University, Wuhan 430071, China
    2. Department of Intensive Care Unit, Xiangya Hospital, Central South University, Changsha 410008, China
    3. Department of Critical Care Medicine, Northern Jiangsu Province People′s Hospital, Yangzhou 225001, China
    4. Department of Critical Care Medicine, Qilu Hospital of Shandong University, Jinan 250012, China
    5. Department of Critical Care Medicine, Zhejiang Provincial people’s Hospital, Hangzhou 310014, China
    6. Department of Critical Care Medicine, Jinling hospital medical school of Nanjing University, Nanjing 210002, China
    7. Department of Critical Care Medicine, the First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
    8. Department of Critical Care Medicine, Guangzhou Red Cross Hospital, Guangzhou 510220, China
    9. Department of Critical Care Medicine, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100730, China
  • Received:2017-01-04 Published:2017-05-28
  • Corresponding author: Yun Long
  • About author:
    Corresponding author: Long Yun, Email:

多发伤是重症监护病房(ICU)最常见的创伤,也是早期死亡率最高的创伤性疾病。如何在多发伤急性期合理快速地处置伤情,是ICU治疗的重点与难点。本流程按照ICU收治多发伤的实际过程来构成主轴,分为初始ABC评估及处理,筛查处理最危及生命伤情和系统排查伤情三个阶段,明确每个阶段必须完成的处理事项和时间节点,以达到规范多发伤急性期伤情处理顺序和复苏方法,降低死亡率和致残率的目的。

Multi-trauma is the most common type of trauma leading to ICU admission, also with a higher mortality in early phase. The most challenging aspect in the management of multi-trauma in the acute phase is how to deal with the injury reasonablely and timely. The management of multi-trauma could be divided into 3 stages: initial ABC assessment and treatment, screening for the most life-threatening injuries and handling, systematic screening of the occult injury. Each of the stages must be clearly defined and the timing of the treatment in each stage should be completed without any delay. The priority of management, as well as the resuscitation for acute multi-trauma should be standardized,with a purpose to decrease the mortality and morbidity.

图1 ICU多发伤急性期处置流程图
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