院前创伤救治体系发展与“移动急诊科”方案

Development of pre-hospital trauma care system and plan of"mobile emergency department"

随着社会的发展,高能创伤发病率呈日益增长的趋势。据世界卫生组织统计,每年大约有580万人死于各种原因导致的创伤。创伤属于“时间敏感性”疾病,研究表明院前早期标准化救治可降低创伤相关病死率。本研究回顾西方发达国家和我国院前创伤救治体系,分别论述德国、美国及我国现行创伤救治优势和不足,结合美军战伤救治理念,笔者建议将创伤中心前置至事故现场构建院前移动创伤中心——“移动急诊科”,形成我国标准化院前创伤救治体系,最大限度提高生命救护的成功率,促进我国院前创伤救治能力的进一步提升。

With the development of society,the incidence of high energy trauma is increasing with each passing day.According to the World Health Organization,about 5.8 million people died each year from trauma caused by various causes.Trauma is a"time sensitive"disease,and studies have shown that early standardized pre-hospital treatment can reduce trauma-related mortality.This study reviews the pre-hospital trauma treatment system in Western developed countries and China,and discusses the strengths and disadvantages of current trauma treatment in Germany,the United States and China,respectively.Combined with the concept of war wound treatment in the US military,the author suggests that the trauma center should be placed in front of the accident scene to build a pre-hospital mobile trauma center-"Mobile Emergency Department",so as to form a standardized pre-hospital trauma care system in China,hoping to maximize the success rate of life rescue and to promote the further improvement of the ability of pre-hospital trauma care in our country.