大规模伤亡事件创伤救治的现状与发展  

Current Status and Development of Trauma Care for Mass Casualty Incident

作　　者：李晓雪 郑徳彬 赵培 李晨[1] 姚远 王彬华 郝昱文 付小兵[1,2] LI Xiaoxue;ZHENG Debin;ZHAO Pei;LI Chen;YAO Yuan;WANG Binhua;HAO Yuwen;FU xiaobing(Medical Innovation Research Department PLA General Hospital,Beijing 100048,P.R.China;PLA Medical College,Beijing 100048,P.R.China;The 903rd Hospital of Joint Logistics Support Force of the PLA,Hangzhou,Zhejiang,310013)

机构地区：[1]中国人民解放军总医院医学创新研究部,北京海淀100048 [2]解放军医学院,北京海淀100048 [3]联勤保障部队第九○三医院,浙江杭州310013

出　　处：《中华灾害救援医学》2025年第1期1-10,共10页Chinese Journal of Disaster Medicine

基　　金：国家重点研发计划(2023YFC3011902);解放军总医院医学创新研究部“雏鹰计划”人才培育项目。

摘　　要：重大灾难事故往往造成的大规模伤亡事件,具有批量伤员并发、伤情严重多变、伤类复合复杂、救治需求迅速压到当地医疗资源等特点,成为平时创伤救治体系应对的难点。本文回顾了近20年来国际及我国自然灾害、事故灾难的流行病学特点,论述了现代创伤的致伤原因、特点趋势;对比先进国家的主要做法,分析了我国创伤体系在一线救治技术、装备和培训等方面问题;最后提出了发展的具体建议。The severe natural or technological disasters usually caused the massive casualty incident characterized by a large number of casualties,severe injuries and complex injury patterns,and a local medical resources squeeze,presenting a difficult challenge to the peacetime trauma care system.This paper reviewed the epidemiological characteristics of international and Chinese natural disasters and technological accidents in the past 20 years,discussed the primary mechanisms and trends in features of modern trauma.Comparing the main practices of advanced countries,we analyzed the problems of Chinese trauma care system in terms of first-line treatment technology,equipment and training.Ultimately,we put forward specific recommendations to improve the capacity of trauma care in China.

关 键 词：创伤和损伤 应急医学 医学救援 

分 类 号：R8[医药卫生—临床医学]