创伤后伴急性胃肠功能损伤的研究现状及诊治进展

Research Status and Progress of Diagnosis and Treatment of Post-Traumatic Injury with Acute Gastrointestinal Injury

创伤仍然是全世界主要的死亡原因之一,随着社会及人类生活环境的发展变化,在我国,创伤已成为继心、脑血管疾病、肿瘤后的重要死因之一。2012年欧洲危重症学会对重症病人的胃肠功能进行了定义和分级,分为4级。在急诊科有许多入院初期评分系统以及血清标志物,对创伤后伴急性胃肠功能损伤(AGI)预后有较好预测价值为创伤后伴急性胃肠功能损伤的早期评估提供参考,进一步减少创伤后伴急性胃肠功能损伤的死亡率。本文就创伤后损伤伴急性胃肠损伤的研究现状及诊治进展做一综述。

Trauma is still one of the main causes of death in the world. With the development and change of society and human living environment, trauma has become one of the important causes of death after heart disease, cerebrovascular disease and tumor in our country. In 2012, the European Soci-ety of Critical Care Medicine defined and graded the gastrointestinal function of critically ill pa-tients, which was divided into 4 grades. There are many early admission scoring systems and serum markers in the emergency department, which have good predictive value for the prognosis of acute gastrointestinal injury (AGI) after trauma, provide reference for early assessment of AGI after trauma, and further reduce the mortality of post-traumatic injury with acute gastrointestinal inju-ry. This article reviews the research status, diagnosis and treatment progress of post-traumatic in-jury with acute gastrointestinal injury.