急诊开放性伤口冲洗专家共识  

Expert consensus on emergency open wound irrigation

作　　者：中国医师协会创伤外科医师分会创伤后特殊感染与咬蛰伤学组 中国医学救援协会动物伤害救治分会 王传林[2] 刘斯[3] 刘珵[3] 李明[4] 黄伟[4] Posttraumatic Special Infections and Biting Injury Study Group of the Trauma Surgeons Branch of the Chinese Medical Doctor Association;Animal Injury Treatment Branch of China Association for Disaster and Emergency Rescue Medicine;Wang Chuanlin;Liu Si(不详;Emergency surgery of Peking University People′s Hospital,Beijing 100044,China;Emergency Department of Peking University First Hospital,Beijing 100034)

机构地区：[1]不详 [2]北京大学人民医院急诊外科,北京100044 [3]北京大学第一医院急诊科,北京100034 [4]北京大学人民医院创伤救治中心

出　　处：《中华医学杂志》2023年第45期3627-3634,共8页National Medical Journal of China

基　　金：国家自然科学基金(81901251)

摘　　要：伤口冲洗是创伤后开放性伤口处置的首要步骤,也是预防伤口感染最有效的手段之一。伤口冲洗通过去除伤口内的细胞碎片、致病微生物、异物以及伤口渗出物等,降低伤口感染的风险并促进伤口愈合。伤口冲洗的效果主要取决于冲洗的压力、水流方向、冲洗液的种类、温度及用量。针对国内急诊临床工作中对于开放性伤口冲洗不规范的现象,中国医师协会创伤外科医师分会创伤后特殊感染与咬蛰伤学组和中国医学救援协会动物伤害救治分会组织国内急诊科、创伤救治中心等相关领域专家,收集急诊开放性伤口冲洗最新证据,参考国内外相关指南、共识并结合中国专家临床经验,撰写本共识,以期提高从事急诊开放性伤口处置的医务人员对伤口冲洗的认识和处置水平。Wound irrigation is one of the most effective means to prevent open wound infection after injury.Wound irrigation can reduce the risk of wound infection and promote wound healing by removing the cell fragments,surface bacteria,dressings residues,residual foreign body and wound exudates loosely attached to the wound.The effect of wound irrigation mainly depends on the pressure of irrigation,the direction of fluid flow,the type of liquid,temperature and volume/amount of irrigation fluid.In response to the phenomenon that emergency open wounds are not irrigated in a standardized manner in China,the Posttraumatic Special Infections and Biting Injury Study Group of the Trauma Surgeons Branch of the Chinese Medical Doctor Association and the Animal Injury Treatment Branch of China Association for Disaster and Emergency Rescue Medicine organized domestic experts in the fields of emergency department and trauma treatment centers to collect the latest clinical evidence of emergency open wound irrigation,and wrote this consensus with reference to relevant guidelines,consensus and the clinical experience of Chinese experts.The consensus summarized the important factors affecting wound irrigation and put forward 10 recommendations to improve the knowledge and skills of trauma emergency medical personnel in wound irrigation.

关 键 词：伤口冲洗 冲洗压力 冲洗方向 冲洗液 专家共识 

分 类 号：R641[医药卫生—外科学]