胸部爆炸伤紧急救治临床指南(2022年)  

Clinical guideline on first aid for blast injury of the chest(2022 edition)

作　　者：宋志明 陈检明 钟京 易云峰 张连阳 蒋建新 张茂[3] 李阳 刘国栋 都定元 闵家新 吴旭[6] 许硕贵 张安强 王耀丽 唐昊 郭庆山 郁毅刚 白祥军 黄刚[9] 杨志广[10] 赵云平 刘升[12] 谭黎杰[13] 童雷 苑小历 赵艳梅 樊毫军 Song Zhiming;Chen Jianming;Zhong Jing;Yi Yunfeng;Zhang Lianyang;Jiang Jianxin;Zhang Mao;Li Yang;Liu Guodong;Du Dingyuan;Min Jiaxin;Wu Xu;Xu Shuogui;Zhang Anqiang;Wang Yaoli;Tang Hao;Guo Qingshan;Yu Yigang;Bai Xiangjun;Huang Gang;Yang Zhiguang;Zhao Yunping;Liu Sheng;Tan Lijie;Tong Lei;Yuan Xiaoli;Zhao Yanmei;Fan Haojun(1909th Hospital of Joint Logistic Support of PLA,Zhangzhou 363000,China;Daping Hospital of Army Medical University,Chongqing 400042,China;Second Affiliated Hospital of Zhejiang University School of Medicine,Hangzhou 310009;Chongqing University Central Hospital,Chongqing 400014,China;First People′s Hospital of Chongqing Liang Jiang New Area,Chongqing 401135,China;Southern Hospital of Southern Medical University,Guangzhou 510515,China;Second Affiliated Hospital of Naval Medical University,Shanghai 200003,China;Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China;Third Affiliated Hospital of Hebei Medical University,Shijiazhuang 050051,China;Bethune First Hospital of Jilin University,Changchun 130021,China;First Affiliated Hospital of Kunming Medical University,Kunming 100730,China;First Affiliated Hospital of Nanchang University,Nanchang 330006,China;Zhongshan Hospital Affiliated to Fudan University,Shanghai 200032,China;14980th Hospital of Joint Logistic Support of PLA,Shijiazhuang 050051,China;General Hospital of Eastern Theater Command,Nanjing 210002,China;Institute of Disaster and Emergency Medicine of Tianjin University,Tianjin 300100,China)

机构地区：[1]解放军联勤保障部队第九〇九医院,漳州363000 [2]陆军军医大学大坪医院,重庆400042 [3]浙江医科大学附属第二医院,杭州310009 [4]重庆大学附属中心医院,重庆400014 [5]重庆市两江新区第一人民医院,重庆401135 [6]南方医科大学附属南方医院,广州510515 [7]海军军医大学第二附属医院,上海200003 [8]华中科技大学同济医学院附属同济医院,武汉430030 [9]河北医科大学第三附属医院,石家庄050051 [10]吉林大学白求恩第一医院,长春130021 [11]昆明医科大学第一附属医院,昆明100730 [12]南昌大学第一附属医院,南昌330006 [13]复旦大学附属中山医院,上海200032 [14]解放军联勤保障部队第九八〇医院,石家庄050051 [15]解放军东部战区总医院,南京210002 [16]天津大学应急医学研究院,天津300100

出　　处：《中华创伤杂志》2022年第1期11-22,共12页Chinese Journal of Trauma

基　　金：军队后勤科研项目(CWH17J030);军队后勤开放研究项目(BLB19J006,BLB20J009)。

摘　　要：胸部爆炸伤是现代战伤和恐怖袭击中最常见的损伤类型之一,也是爆炸伤中致死率最高的伤类之一,大部分严重胸部爆炸伤患者死于受伤早期和院前转运途中,故对其紧急救治特别重要。目前普遍存在治疗不规范、疗效差异大等问题,且临床上缺乏胸部爆炸伤救治规范。中华医学会创伤学分会遵循科学性、实用性和先进性的原则,针对胸部爆炸伤的分型、院前急救和院内治疗的关键技术和处置策略制订本指南,为临床诊疗提供依据。Blast injury of the chest injury is the most common wound in modern war trauma and terrorist attacks,and is also the most fatal type of whole body explosion injury.Most patients with severe blast injury of the chest die in the early stage before hospitalization or during transportation,so first aid is critically important.At present,there exist widespread problems such as non-standard treatment and large difference in curative effect,while there lacks clinical treatment standards for blast injury of the chest.According to the principles of scientificity,practicality and advancement,the Trauma Society of Chinese Medical Association has formulated the guidance of classification,pre-hospital first aid,in-hospital treatment and major injury management strategies for blast injury of the chest,aiming to provide reference for clinical diagnosis and treatment.

关 键 词：爆震伤 胸部损伤 急救 急救医疗服务 

分 类 号：R642[医药卫生—外科学]