重型创伤性脑损伤合并新型冠状病毒感染成人患者临床诊疗中国专家共识(2023版)  

Chinese expert consensus on clinical treatment of adult patients with severe traumatic brain injury complicated by corona virus disease 2019(version 2023)

作　　者：张泽立[1] 孙守家 包义君[2] 别黎[3] 曹云星 晁彦公[5] 陈菊祥 方文华[7] 冯光[8] 冯雷[9] 冯军峰[10] 高亮 韩冰莎 韩萍[1] 胡成功[12] 胡锦[13] 胡荣 何伟 侯立军 黄贤键[17] 江基尧[10] 江荣才[18] 李立宏 李晓鹏[20] 刘劲芳[21] 刘杰[22] 吕胜青 邱炳辉[24] 孙西周 孙晓川[26] 田恒力[27] 田野[18] 王珂[11] 王宁[28] 王新军[29] 王东海[1] 王玉海 汪建军 王新功[32] 魏俊吉[33] 徐峰[1] 徐敏[34] 晏骖 闫伟[35] 杨小锋[36] 杨朝华[12] 张睿[37] 张永明[38] 赵迪 朱建新 高国一 黄齐兵[1] 中国医疗保健国际交流促进会重症医学分会 Zhang Zeli;Sun Shoujia;Bao Yijun;Bie Li;Cao Yunxing;Chao Yangong;Chen Juxiang;Fang Wenhua;Feng Guang;Feng Lei;Feng Junfeng;Gao Liang;Han Bingsha;Han Ping;Hu Chenggong;Hu Jin;Hu Rong;He Wei;Hou Lijun;Huang Xianjian;Jiang Jiyao;Jiang Rongcai;Li Lihong;Li Xiaopeng;Liu Jinfang;Liu Jie;Lyu Shengqing;Qiu Binghui;Sun Xizhou;Sun Xiaochuan;Tian Hengli;Tian Ye;Wang Ke;Wang Ning;Wang Xinjun;Wang Donghai;Wang Yuhai;Wang Jianjun;Wang Xingong;Wei Junji;Xu Feng;Xu Min;Yan Can;Yan Wei;Yang Xiaofeng;Yang Chaohua;Zhang Rui;Zhang Yongming;Zhao Di;Zhu Jianxin;Gao Guoyi;Huang Qibing;Critical Care Medicine Branch of China International Exchange and Promotive Association for Medical and Healthcare(Qilu Hospital of Shandong University,Jinan 250012,China;First Affiliated Hospital of China Medical University,Shenyang 110002,China;Bethune First Hospital of Jilin University,Changchun 130061,China;Second Affiliated Hospital of Chongqing Medical University,Chongqing 400010,China;First Hospital of Tsinghua University,Beijing 100016,China;First Affiliated Hospital of Naval Medical University,Shanghai 200433,China;First Affiliated Hospital of Fujian Medical University,Fuzhou 350005,China;Henan Provincial People's Hospital,Zhengzhou 450003,China;First People's Hospital of Jining,Jining 272002,China;Renji Hospital Affliated to Shanghai Jiao Tong University School of Medicine,Shanghai 200120,China;Shanghai Tenth People's Hospital,Shanghai 200072,China;West China Hospital of Sichuan University,Chengdu 610044,China;Huashan Hospital Affiliated to Fudan University,Shanghai 200040,China;First Affiliated Hospital of Army Medical University,Chongqing 400038,China;Qilu Hospital of Shandong University(Qingdao),Qingdao 266071,China;Second Affiliated Hospital of Navy Medical University,Shanghai 200003,China;Shenzhen Second People's Hospital,Shenzhen 518035,China;General Hospital of Tianjin Medical University,Tianjin 300052,China;Tangdu Hospital of Air Force Medical University,Xi'an 710038,China;First Affiliated Hospital of Xinjiang Medical University,Urumqi 8

机构地区：[1]山东大学齐鲁医院,济南250012 [2]中国医科大学附属第一医院,沈阳110001 [3]吉林大学白求恩第一医院,长春130032 [4]重庆医科大学第二附属医院,重庆400010 [5]清华大学附属第一医院,北京100016 [6]海军军医大学第一附属医院,上海200433 [7]福建医科大学第一附属医院,福州350005 [8]河南省人民医院,郑州450003 [9]济宁市第一人民医院,济宁272500 [10]上海交通大学医学院附属仁济医院,上海200127 [11]上海市第十人民医院,上海200072 [12]四川大学华西医院,成都610041 [13]复旦大学附属华山医院,上海200040 [14]陆军军医大学第一附属医院,重庆400038 [15]山东大学齐鲁医院青岛分院,青岛266035 [16]海军军医大学第二附属医院,上海200003 [17]深圳市第二人民医院,深圳518035 [18]天津医科大学总医院,天津300052 [19]空军军医大学唐都医院,西安710038 [20]新疆医科大学附属第一医院,乌鲁木齐830011 [21]中南大学湘雅医院,长沙410008 [22]烟台毓璜顶医院,烟台264099 [23]陆军军医大学第二附属医院,重庆400037 [24]南方医科大学南方医院,广州510515 [25]日照市中医医院,日照276800 [26]重庆医科大学附属第一医院,重庆400016 [27]上海交通大学附属第六人民医院,上海200233 [28]首都医科大学附属北京宣武医院,北京100053 [29]郑州大学第五附属医院,郑州450052 [30]联勤保障部队第九〇四医院,无锡214041 [31]山东第一医科大学第一附属医院,济南250014 [32]临沂市人民医院,临沂276034 [33]北京协和医院,北京100032 [34]胜利油田中心医院,东营257034 [35]浙江大学医学院附属第二医院,杭州310009 [36]浙江大学医学院附属第一医院,杭州310003 [37]青岛大学附属医院,青岛266003 [38]安徽医科大学附属第二医院,合肥230601 [39]河北省中医院,石家庄050013 [40]聊城市脑科医院,聊城252001 [41]首都医科大学附属北京天坛医院,北京100070 [42]不详

出　　处：《中华创伤杂志》2023年第3期193-203,共11页Chinese Journal of Trauma

摘　　要：重型创伤性脑损伤(sTBI)合并新型冠状病毒感染(COVID-19)的患者病情复杂,主要表现为sTBI可显著增高COVID-19发展为重型或危重型的概率;COVID-19也可增加sTBI的手术风险和术后肺部病变的严重程度,并且在治疗过程中存在诸多矛盾点,为该类患者的临床救治带来困难。截至目前,可供医务人员参考的有关sTBI合并COVID-19的临床研究和诊疗规范甚少。为规范该类患者的临床治疗,中国医疗保健国际交流促进会重症医学分会和《中华创伤杂志》编辑委员会组织相关专家,以国务院联防联控机制方案为政策依据,基于国际疫情大流行3年来sTBI和COVID-19的国内外文献,制订《重型创伤性脑损伤合并新型冠状病毒感染成人患者临床诊疗中国专家共识(2023版)》。本共识从急诊处理、急诊手术和病房综合管理等方面提出15条推荐建议,为sTBI合并COVID-19患者的诊断和治疗提供指导。The condition of patients with severe traumatic brain injury(sTBI)complicated by corona virus 2019 disease(COVID-19)is complex.sTBI can significantly increase the probability of COVID-19 developing into severe or critical stage,while COVID-19 can also increase the surgical risk of sTBI and the severity of postoperative lung lesions.There are many contradictions in the treatment process,which brings difficulties to the clinical treatment of such patients.Up to now,there are few clinical studies and therapeutic norms relevant to sTBI complicated by COVID-19.In order to standardize the clinical treatment of such patients,Critical Care Medicine Branch of China International Exchange and Promotive Association for Medical and Healthcare and Editorial Board of Chinese Journal of Trauma organized relevant experts to formulate the Chinese expert consensus on clinical treatment of adult patients with severe traumatic brain injury complicated by corona virus infection 2019(version 2023)based on the joint prevention and control mechanism scheme of the State Council and domestic and foreign literatures on sTBI and COVID-19 in the past 3 years of the international epidemic.Fifteen recommendations focused on emergency treatment,emergency surgery and comprehensive management were put forward to provide a guidance for the diagnosis and treatment of sTBI complicated by COVID-19.

关 键 词：冠状病毒属 脑损伤 创伤性 专家共识 

分 类 号：R651.15[医药卫生—外科学] R511[医药卫生—临床医学]