WSES/SIS-E/WSIS/AAST/GAIS制定的免疫功能低下患者急腹症管理指南解读  

Interpretation of acute abdomen in the immunocompromised patients:WSES/SIS-E/WSIS/AAST/GAIS guideline

作　　者：郑飞波[1,2] 杨春勇 崔云峰[2,4] 张雅敏[5] Federico Coccolini Zheng Feibo;Yang Chunyong;Cui Yunfeng;Zhang Yamin;Federico Coccolini(Department of Surgery,Tianjin Occupational Diseases Precaution and Therapeutic Hospital,Tianjin 300011,China;Nankai Clinical School of Medicine,Tianjin Medical University,Tianjin 300070,China;Department of General Surgery,Affiliated Hospital of Chifeng College,Chifeng 024000,Inner Mongolia Autonomous Region,China;Department of Surgery,Tianjin Nankai Hospital,Tianjin 300100,China;Department of Hepatobiliary Surgery,Tianjin First Central Hospital,Tianjin 300100,China;General,Department of Emergency and Trauma Surgery,Pisa University Hospital,Pisa 56124,Italy)

机构地区：[1]天津市职业病防治院外科,天津300011 [2]天津医科大学南开临床学院,天津300070 [3]赤峰学院附属医院普通外科,内蒙古自治区赤峰024000 [4]天津市南开医院肝胆胰外科,天津300100 [5]天津市第一中心医院肝胆外科,天津300100 [6]比萨大学医院普通外科/急创外科,比萨56124,意大利

出　　处：《中华危重病急救医学》2022年第3期239-244,共6页Chinese Critical Care Medicine

基　　金：天津市"131"创新型人才团队项目(201938);天津市中医药管理局中医中西医结合科研课题重点项目(2021006);天津市中医药重点领域科技项目(2022005)。

摘　　要：世界急诊外科学会(WSES)联合欧洲外科感染学会(SIS-E)、世界外科感染学会(WSIS)、美国创伤外科协会(AAST)和全球外科感染联盟(GAIS)制定了有关免疫功能低下患者急腹症管理的指南,并于2021年8月9日在《世界急诊外科杂志》(WJES)上发表。该指南从免疫功能低下患者的定义、分类、诊断、治疗进行了详尽的阐述。此外,基于循证医学证据就免疫功能低下患者特异性急性腹腔感染、移植患者常见急性腹腔感染、人类免疫缺陷病毒(HIV)感染者或获得性免疫缺陷综合征(AIDS)患者的诊断和治疗以及围手术期类固醇的管理给出了指导意见。本文对该指南进行解读,以更好地理解免疫功能低下患者急腹症的诊治现状以及推荐意见,并就其局限性提出建议。World Society of Emergency Surgery(WSES),in conjunction with Surgical Infection Society Europe(SIS-E),World Surgical Infection Society(WSIS),American Association for the Surgery of Trauma(AAST),and Global Alliance for Infection in Surgery(GAIS)developed guideline about the management of acute abdomen in immunocompromised patients,which was published in the World Journal of Emergency Surgery(WJES)on August 9,2021.The guidelines elaborate on the definition,classification,diagnosis and treatment of immunocompromised patients.In addition,based on evidence-based medicine,it provides guidance and suggestion on the management of specific acute abdominal infections in immunocompromised patients,common acute abdominal infections in transplanted patients,patients with human immunodeficiency virus(HIV)or acquired immunodeficiency syndrome(AIDS),as well as perioperative steroid management.An interpretation of the guideline was performed to accomplish a better understanding the current status and recommendations for the management of acute abdominal conditions in immunocompromised patients,and to make forward suggestions on its limitations.

关 键 词：免疫功能低下 急腹症 疾病管理 指南 世界急诊外科学会 联合欧洲外科感染学会 世界外科感染学会 美国创伤外科协会 全球外科感染联盟 

分 类 号：R656.1[医药卫生—急诊医学]