高级创伤生命支持路径在急性创伤性脊柱脊髓损伤救治中的应用研究  

Application of advanced trauma life support in the treatment of acute traumatic spinal cord injury

作　　者：李剑强 黎松波 LI Jian-qiang;LI Song-bo(Guangdong Medical University,Zhanjiang 524000,China;Department of Orthopedics,the Dongguan People’s Hospital,Dongguan 523059,China)

机构地区：[1]广东医科大学,广东湛江524023 [2]东莞市人民医院,广东东莞523069

出　　处：《广东医科大学学报》2022年第6期716-720,共5页Journal of Guangdong Medical University

摘　　要：急性创伤性脊柱脊髓损伤是一种严重的创伤,可导致不同程度的残疾甚至死亡,如果不迅速治疗,患者可能会遭受进一步的继发性损伤,并经历不断升级的残疾和并发症。然而传统的急诊救治模式多强调对呼吸情况、循环情况及输液情况进行评价和管理,缺乏对患者进行整体病情评估,尤其对脊髓损伤的评估。高级创伤生命支持(ATLS)为美国外科学会建立一种标准化的救治程序,对严重创伤患者的救治强调“黄金1小时”,指南对每种伤情有规范化抢救流程,并有关键性判断节点,而每个节点有符合脊柱脊髓损伤抢救需要的处置步骤。近年来,ATLS逐渐被国内急诊医师用于严重创伤的救治中。该文综述了ATLS路径处理急性创伤性脊柱脊髓损伤方面的发展及现状,以促进ALTS在国内的进一步推广。Objective Acute traumatic spinal cord injury is a serious injury that can lead to disability of varying degrees and even death.If not treated quickly,patients with SCI may suffer further secondary injury and experience escalating disability and complications.However,traditional emergency treatment mode mostly emphasizes the evaluation and management of respiratory conditions,circulation conditions and infusion condition,lacking the overall condition assessment for patients,especially the assessment of spinal cord injury.Advanced Trauma Life Support(ATLS),a standardized treatment procedure established by the American Academy of Surgeons,emphasizes the“1 golden hour”for the treatment of severe trauma patients.The guide has standardized treatment procedures for each injury and indicates key judgment nodes,each of which has been provided with the treatment steps required for the emergency treatment of spinal cord injury.In recent years,ATLS has been gradually adopted by domestic emergency physicians in the treatment of severe trauma.This paper reviews the development and status quo of ATLS pathway in the treatment of acute traumatic spinal cord injury to promote the further promotion of ALTS in China.

关 键 词：创伤 脊柱脊髓损伤 高级创伤生命支持 综述文献 

分 类 号：R575.5[医药卫生—消化系统]