创伤性主动脉损伤急诊介入护理专家共识  

Expert consensus on emergency interventional nursing for traumatic aortic injury

作　　者：中华医学会急诊医学分会出血学组 中国研究型医院学会出血专业委员会 中国出血中心联盟 向华[2] 阳秀春[2] 莫伟[2] 田馨怡[2] Emergency Medicine Branch Hemorrhage Group of Chinese Medical Association;Hemorrhage Professional Committee of Chinese Research Hospital Association;Chinese Hemorrhage Center Alliance;XIANG Hua;YANG Xiuchun

机构地区：[1]不详 [2]湖南省人民医院/湖南师范大学附属第一医院

出　　处：《介入放射学杂志》2024年第11期1162-1169,共8页Journal of Interventional Radiology

基　　金：湖南省急危重症急救能力提升与突发公共卫生应急救治关键技术协同创新工程项目(2020SK1010)。

摘　　要：钝性创伤性主动脉损伤(blunt traumatic aortic injury,BTAI)的病死率很高,主动脉腔内修复术因具有创伤小、并发症较少及恢复快等特点,是BTAI的首选治疗方式。在救治过程中,专业且高效的急诊介入护理发挥着重要作用。该共识就BTAI的病因及临床表现、院内外紧急护理评估(含早期休克的识别)及复苏、紧急处置、急诊介入护理要点、早期康复、出院后延续性护理进行归纳说明,并构建和优化急诊介入护理处置流程,旨在为临床主动脉损伤急救相关护理实践提供指导和参考依据。Clinically,the mortality of blunt traumatic aortic injury(BTAI)is high.Due to its less trauma,fewer complications and rapid recovery,the endovascular aortic repair has become the preferred treatment for BTAI.In the effective treatment process of BTAI,professional and efficient emergency interventional nursing care plays an important role.This consensus aims to make a detailed description of the clinical diagnosis and treatment of BTAI,focusing on the etiology and clinical manifestations,in-hospital and out-hospital emergency nursing assessment(including the identification of early shock)and resuscitation,emergency management,key points of emergency interventional care,early rehabilitation,and continuous care after discharge,in addition,to construct and to optimize the managing process of emergency interventional care,so as to provide useful guidance and reference basis for the clinical emergency care practice for BTAI.

关 键 词：主动脉损伤 创伤 急诊急救 介入护理 专家共识 

分 类 号：R605.97[医药卫生—急诊医学]