创伤复苏临床路径

Clinical pathway for trauma resuscitation

创伤复苏是医疗急救中进行的一个紧急时期,包括初步和持续的创伤评估及同时实施的诊断与治疗措施。按照伤情稳定性及损伤机制(钝性/穿透性)制定有组织的、按预案进行的系统的临床路径为指导,依据患者解剖损伤与生理稳定性进行确定性处理。不稳定创伤是潜在需要手术或心肺功能异常需ICU监护治疗者,初期复苏后病情仍不稳定者通常需手术处理,濒死创伤患者在诊断前即需要治疗。

Trauma resuscitation is an intense period of medical care in which initial and continuous patient assessment guides concurrent diagnostic and therapeutic procedures.Resuscitation of the trauma patient requires an organized,systematic clinical approach based on patient＇s ＂stability＂ and mechanism of injury（blunt vs penetrating）.Definitive management of a patient＇s injury will be dictated by the anatomic injury and patient＇s stability.The unstable trauma patient can be defined by potential requirement for surgery or the ICU treatment as well as cardiopulmonary dysfunction.The trauma patient who remains unstable after initial resuscitation usually requires surgical intervention.The trauma patient in extremis may require treatment before diagnosis.