创伤性腹盆腔出血的疾病负担与临床救治中的几个重要问题  

Disease burden and key issues in clinical management of traumatic abdominal and/or pelvic hemorrhage

作　　者：戴睿武 Dai Ruiwu(Department of General Surgery,the General Hospital of Western Theater Command,Chengdu 610083,China)

机构地区：[1]中国人民解放军西部战区总医院普通外科,成都610083

出　　处：《创伤外科杂志》2025年第3期161-165,共5页Journal of Traumatic Surgery

摘　　要：目前创伤性腹盆腔出血(TAPH)的救治取得了重大进展,但在临床实践中仍存在一些争议和缺陷。基于最新的全球疾病负担(GBD)数据库结果和救治经验,笔者分析了TAPH的流行病学及疾病负担,并探讨了TAPH救治过程中的四个重要问题:基于“SMART”理念确定救治策略、重视合并基础疾病的TAPH患者的病情判断及处理、TAPH的手术选择、TAPH伤员救治后随访及中长期预后研究。通过不断临床实践和技术改进,未来有望进一步提高TAPH患者的救治成功率。Significant progress has been made in the management of traumatic abdominal and/or pelvic hemorrhage(TAPH),but several controversies and deficiencies still exist in clinical practice.Based on the latest results from the Global Burden of Disease(GBD)database and clinical experience,the author analyzes the epidemiology and disease burden of TAPH,and discusses four key issues in the management of TAPH,i.e.,establishing rescue strategies based on the“SMART”principle,keeping eyes on TAPH patients with comorbidities,selecting suitable surgeries for TAPH patients,and carrying out doing more studies on the follow-up and long-term prognosis for TAPH patients.Through continuous clinical practice and technological advancements,it is hoped that the survival rates of TAPH patients be further improved in the future.

关 键 词：创伤性腹盆腔出血 临床救治 疾病负担 重要问题 

分 类 号：R64[医药卫生—外科学]