人工智能伤情评估和损伤控制外科在开放性腹部海水浸泡伤中的应用  

Artificial intelligence assessment and damage control surgery in open abdominal trauma with seawater immersion

作　　者：尚林富 方诚 梁艺华 沈锋 Shang Linfu;Fang Cheng;Liang Yihua;Shen Feng(School of Health Science and Engineering,University of Shanghai for Science and Technology,Shanghai 200093,China;Department of Hepatic Surgery(Ⅳ),the Eastern Hepatobiliary Surgery Hospital,Naval Medical University,Shanghai 200433,China)

机构地区：[1]上海理工大学健康科学与工程学院,上海200093 [2]海军军医大学东方肝胆外科医院肝外四科,上海200433

出　　处：《中华航海医学与高气压医学杂志》2024年第2期169-174,共6页Chinese Journal of Nautical Medicine and Hyperbaric Medicine

基　　金：军事医学青年培育项目(2022JSYX004);军队临床重点专科项目(20221057)。

摘　　要：由于海水的低温、高渗及大量细菌等因素影响,开放性海战腹部伤体现出与一般腹部创伤不同的伤情特点,既有原发性创伤的损害,又有海水浸泡对腹部重要脏器的二次损伤。对开放性腹部伤合并海水浸泡致病机制的深入研究,将有助于提高受伤人员的诊疗和救治效率。笔者剖析开放性腹部伤合并海水浸泡的致病机制,结合损伤控制外科和人工智能伤情评估在战伤救治领域的应用,阐述开放性腹部外伤合并海水浸泡的救治新策略。Seawater is characterized by its low temperature,high salinity,and abundance of bacteria,open abdominal trauma in naval battle has different characteristics from general abdominal traumas,including not only the injuries of primary trauma,but also the secondary injury of important abdominal organs caused by seawater immersion.It is conducive to improve the efficiency of the diagnosis and treatment of the casualties by carrying out in-depth studies on the pathogenic mechanism of open abdominal trauma with seawater immersion.This paper reviewed the pathogenic mechanism of open abdominal trauma with seawater immersion,discussed the application of damage control surgery and artificial intelligence assessment of the injuries in battle field casualty care,and expounded a new strategy for the treatment of open abdominal trauma with seawater immersion.

关 键 词：腹部开放伤 海水浸泡 人工智能 损伤控制外科 

分 类 号：R656[医药卫生—外科学]