“三位一体”多发骨创伤救治策略及其应用  

"Trinity"treatment strategy for multiple bone trauma and its application

作　　者：陈晓 王光超 张浩 苏佳灿 Chen Xiao;Wang Guangchao;Zhang Hao;Su Jiacan(Department of Orthopedics,Trauma Orthopedics Center,Institute of Musculoskeletal Injury and Translational Medicine of Organoids,Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine,Shanghai 200092,China)

机构地区：[1]上海交通大学医学院附属新华医院骨科,创伤骨科中心,运动系统损伤与类器官转化医学研究所,上海200092

出　　处：《中华创伤杂志》2024年第12期1082-1088,共7页Chinese Journal of Trauma

基　　金：上海市申康发展中心研究型医师创新转化能力培训项目(SHDC2023CRT013);上海市经信委创新医疗器械应用示范项目(23SHS05700)。

摘　　要：多发骨创伤救治复杂、术后并发症多、病死率高,给患者的生活质量和生命带来严重威胁,是创伤骨科领域重大挑战。目前,单一学科诊疗模式和局部处理策略已难以应对多发骨创伤日益复杂的救治需求,亟需变革。笔者团队提出“三位一体”多发骨创伤救治策略,将救治过程划分为急救期、重建期和康复期3个阶段,分别以挽救生命、重建解剖、恢复功能为核心目标。整个诊疗过程贯彻“以患者为中心、以问题为导向、以循证为基础”的理念,结合多学科协同、技术融合、流程优化,充分发挥整体效应。该策略在减少并发症、降低病死率、促进骨折愈合和改善功能恢复方面具有积极效果,为多发骨创伤的救治提供了新的思路和方法。为此,笔者详细阐述“三位一体”多发骨创伤救治策略的核心内容及其应用,以期提高多发骨创伤的救治水平,促进患者康复。The complex treatment of multiple bone trauma,with numerous postoperative complications and high mortality,poses a serious threat to patients′quality of life,being a major challenge in the field of orthopedic trauma.Currently,the traditional single‑discipline treatment mode and localized management strategies are not sufficient enough to meet the increasingly complex needs of treating multiple bone trauma,highlighting an urgent need for reform.Our team proposed a"trinity"strategy for the management of multiple bone trauma.According to the strategy,the treatment process is divided into three stages including first aid,remodeling,and rehabilitation,with the core goals of saving lives,restoring anatomy,and recovering function respectively.The entire process of diagnosis and treatment adheres to the"patient‑centered,problem‑oriented,and evidence‑based"idea with multidisciplinary collaboration,technology integration,process optimization,and full utilization of overall effects.This strategy has positive effects in reducing complications,decreasing mortality,promoting fracture healing,and improving functional recovery,thus providing new approaches and methods for the treatment of multiple bone trauma.To this end,the authors elaborated on the core content of the"trinity"treatment strategy for multiple bone trauma and its application,aiming to enhance the treatment outcome of multiple bone trauma and promote patients′recovery.

关 键 词：多处创伤 急救 骨重建 康复 

分 类 号：R687[医药卫生—骨科学]