摘要
多发伤是重症监护病房(ICU)最常见的创伤,也是早期死亡率最高的创伤性疾病。如何在多发伤急性期合理快速地处置伤情,是ICU治疗的重点与难点。本流程按照ICU收治多发伤的实际过程来构成主轴,分为初始ABC评估及处理,筛查处理最危及生命伤情和系统排查伤情三个阶段,明确每个阶段必须完成的处理事项和时间节点,以达到规范多发伤急性期伤情处理顺序和复苏方法,降低死亡率和致残率的目的。
Multi-trauma is the most common type of trauma leading to ICU admission, also with a higher mortality in early phase. The most challenging aspect in the management of multi-trauma in the acute phase is how to deal with the injury reasonablely and timely. The management of multi-trauma could be divided into 3 stages： initial ABC assessment and treatment, screening for the most life-threatening injuries and handling, systematic screening of the occult injury. Each of the stages must be clearly defined and the timing of the treatment in each stage should be completed without any delay. The priority of management, as well as the resuscitation for acute multi-trauma should be standardized,with a purpose to decrease the mortality and morbidity.
出处
《中华重症医学电子杂志》
2017年第2期122-126,共5页
Chinese Journal Of Critical Care & Intensive Care Medicine(Electronic Edition)
基金
北京协和医学院2016年度教学质量工程项目(2016zlgc0713)
关键词
多发伤
流程
重症监护病房
Multi-trauma
Protocol
Intensive care unit
作者简介
通信作者：隆云，Email：ly_icu@aliyun．com
