延迟现场救护下腹部战创伤微创外科救治的专家共识  

Experts′consensus for minimally invasive surgery on abdominal combat trauma under prolonged field care

作　　者：腹部战创伤延迟现场救治专家组 卫勃[2] 周飞虎[2] 崔昊 卢誉元 Experts′group for prolonged field care of abdominal battle trauma

机构地区：[1]不详 [2]解放军总医院第一医学中心

出　　处：《腹腔镜外科杂志》2025年第1期1-8,共8页Journal of Laparoscopic Surgery

摘　　要：腹部战创伤具有发生率高、致伤类型复杂等特点,如未及时诊治致死率高。延迟现场救护(PFC)聚焦于战伤员难以及时后送条件下,在超越黄金救治时间外应用前沿技术手段稳定及控制伤情,为平稳后送转运争取时间。微创手术具有创伤小、诊疗一体化、术后康复快等优势,同时可避免非必要剖腹探查,依托便携装备、远程技术手段等为其在PFC情境下开展救治工作提供可能。因此,笔者团队结合相关文献及临床实践经验,关注救治流程标准化、限制性液体复苏、微创手术适应证与类型、新装备技术的前沿应用等环节,组织腹部创伤外科领域专家团队形成此共识,为推动微创外科在PFC下腹部战创伤救治的规范化应用提供参考。Abdominal combat trauma is characterized by high incidence and complex injury mechanisms,with delayed treatment often leading to elevated mortality.Prolonged field care(PFC)focuses on utilizing advanced medical technologies to stabilize c a-sualties beyond the golden treatment window when immediate evacuation is unavailable,thereby creating optimal conditions for safe medical evacuation.Recent advancements in minimally invasive surgery(MIS)demonstrate distinct advantages including less length of surgical incision,integrated diagnosis and operation,accelerated postoperative recovery,etc.Furthermore,the advent of portable equipment and telemedicine platformshas facilitated the potential application of MIS in PFC scenarios,enabling the avoidance of unnecessary laparotomies.Based on comprehensive literature reviews and clinical experiences,we organized several experts in abdominal trauma to develop this consensus,which mainly focuses on the standardization of treatment protocols,implementation of restrictive fluid resuscitation,determination of MIS indications,and integration of emerging technologies.This consensus aims to establish clinical guidelines for optimizing the standardized application of minimally invasive techniques in managing abdominal combat trauma under PFC conditions,ultimately enhancing battlefield medical efficacy.

关 键 词：腹部战创伤 微创 延迟现场救护 救治流程 专家共识 

分 类 号：R826[医药卫生—临床医学]