努力突破严重创伤医院内救治瓶颈

Overcoming the difficulties of in-hospital trauma care in China

提升院内紧急救治能力,是低成本、快速度和高效率改善严重创伤结局的途径。本文基于2012年12月以来我国30家医院创伤救治能力建设状况调查的数据,阐述了严重创伤、黄金时间、损害控制、创伤救治体系及院内救治等概念。根据调研证实创伤是各级医院的主要病种和手术类型,针对制约创伤救治能力的医院外和医院内因素,以及各级医院的主要瓶颈,提出了构建符合现代医学发展趋势的创伤院内救治流程,在黄金时间内遵循损害控制策略实施紧急救治,特别是在学科、人才建设方面建立持续改进机制,从而奠定严重创伤院内救治能力持续提升的坚实基础。

Enhancing the emergency treatment capacity during hospitals is a way to improve the outcome of severe trauma, which is low-cost, rapid and efficient. Based on data of 30 hospitals of China about their trauma care capacity since Dec. 2012, the author introduced concepts of severe trauma, gold time, damage control, trauma care system and in- hospital care, etc. It has been confirmed that trauma is a major disease and a surgical type for hospitals of different lev- els. Meanwhile, the author discussed factors restricting trauma care capacity and the main bottleneck of hospital of differ- ent levels, proposed to build the in-hospital trauma care process in line with the development trend of modern medicine. It is important to apply damage control within the golden hour, and to establish the mechanism for improving the construc- tion of discipline and talents, so as to achieve a continuous increase of in-hospital trauma care capacity.