建设腹痛中心,提高急腹症救治质量  

Development of acute care surgery for optimal treatment of acute abdomen

作　　者：任建安 Ren Jian'an(Research Institute of General Surgery,General Hospital of Eastern Theater Command,Jiangsu Nanjing 210002,China)

机构地区：[1]东部战区总医院全军普通外科研究所,江苏南京210002

出　　处：《腹部外科》2024年第6期395-399,441,共6页Journal of Abdominal Surgery

摘　　要：随着人口老龄化趋势的加剧,急诊外科疾病的发病率持续上升。急诊手术的并发症发生率及死亡率显著高于择期手术。急诊外科疾病已经成为全球性的疾病负担。国内正积极探讨建立以腹痛中心为核心的急重症外科体系,旨在专门治疗急腹症、腹部创伤以及外科并发症等重症病人。国际上,许多成熟的创伤科中心已经转型为急重症外科。在国内,早期的急重症外科是由外科救援团队建立的。为了广泛推广急重症外科的建设,并承担急腹症、创伤和外科救援任务,从建设腹痛中心入手是一个有效的策略。以腹痛中心为核心的急重症外科是一个新兴的学科领域,它将外科与重症监护病房的功能整合在一个科室运行。急重症外科的建设需要普通外科的管理、人才和技术支持,并最终培养出专门从事急重症外科的亚专科人才。With a rapidly aging population,the incidence rate of emergency surgical diseases is rising.Currently the incidence and mortality rate of complications in emergency surgery are much higher than those in elective surgery.Emergency surgical diseases have become a global disease burden.China is actively exploring the establishment of critical care center dedicated to acute abdomen,abdominal trauma and postoperative complications.Internationally,some established trauma clinics have already provided acute care surgery(ACS).And ACS has been offered initially by surgical rescue teams in China.To promote the development of ACS on a large scale,starting emergency abdominal,trauma and surgical rescue from the construction of ACS is an efficient step.ACS focusing upon acute abdomen is an emerging discipline of integrating surgery and intensive care unit(ICU)within one ward.ACS can only flourish under the technical and human resource supports of general surgery.Ultimately well-trained specialized surgeons specializing in ACS shall emerge.

关 键 词：急重症外科 急诊外科 急腹症 创伤 外科救援 

分 类 号：R656.1[医药卫生—急诊医学]