Chinese expert consensus on the treatment of modern combat-related spinal injuries

被引：10

作者：

Zong, Zhao-wen ^{[1
,7
]}

Qin, Hao ^{[1
,7
]}

Chen, Si-xu ^{[1
]}

Yang, Jia-zhi ^{[1
,7
]}

Yang, Lei ^{[1
,7
]}

Zhang, Lin ^{[2
]}

Du, Wen-qiong ^{[1
]}

Zhong, Xin ^{[1
]}

Zhou, Ren-jie ^{[3
,4
]}

Tan, Dan ^{[3
,4
]}

Wu, Hao ^{[1
,3
,25
]}

Zong, Zhao-Wen ^{[1
]}

Bao, Quan-Wei ^{[4
]}

Bai, Lin ^{[5
]}

Chen, Jian-mei ^{[6
]}

Chen, Si-Xu ^{[1
,7
]}

Ding, Zhenqi ^{[8
]}

Ding, Zai-Liang ^{[9
]}

Fu, De-hao ^{[10
]}

Guo, Hai-qing ^{[11
]}

Hao, Ding-jun ^{[12
]}

Hao, Shuai ^{[13
]}

Hu, Ping ^{[14
]}

Huang, Fei ^{[15
]}

He, Bao-rong ^{[12
]}

Jia, Wei-Dong ^{[13
]}

Jiang, Shen ^{[16
]}

Kong, De-Wen ^{[17
]}

Li, Wei ^{[18
]}

Li, Xiao-Long ^{[19
]}

Liu, Jun ^{[20
]}

Liu, Peng ^{[21
]}

Pan, Xianfeng ^{[22
]}

Qin, Hao ^{[1
,7
]}

Ren, Guo-hui ^{[13
]}

Tan, Dan ^{[3
,4
]}

Tang, Ji-qiang ^{[23
]}

Wang, Chen-chao ^{[24
]}

Wu, Hao ^{[1
,3
,25
]}

Xie, Zhao ^{[26
]}

Xu, Shuo-gui ^{[27
]}

Yan, Peng ^{[19
]}

Yan, Ming ^{[28
]}

Yang, Lei ^{[1
,7
]}

Yang, Jia-zhi ^{[1
,7
]}

Yin, Chang-lin ^{[29
]}

Yu, Hai-long ^{[20
]}

Zhao, Zhe ^{[30
]}

Zhang, Pei-xun ^{[31
]}

Zhang, Rong ^{[32
]}

机构：

[1] Army Med Univ, Dept War Wound Rescue Skills Training, Base Army Hlth Serv Training, State Key Lab Trauma Burn & Combined Injury, Chongqing 400038, Peoples R China

[2] Army Med Univ, NCO Sch, Dept Tact Hlth Serv, Shijiazhuang 050000, Hebei, Peoples R China

[3] Army Med Univ, Xinqiao Hosp, Chongqing 400037, Peoples R China

[4] Army Med Univ, Xinqiao Hosp, Dept Emergency, Chongqing, Peoples R China

[5] Peoples Liberat Army Gen Hosp, Hainan Branch, Dept Orthopaed, Beijing, Peoples R China

[6] Fuzhou Gen Hosp Chinese PLA, Dept Orthopaed, Fuzhou, Fujian, Peoples R China

[7] Army Med Univ, Base Army Hlth Serv Training, Dept War Wound Rescue Skills Training, Chongqing, Peoples R China

[8] 175th Hosp Chinese PLA, Dept Orthopaed, Zhangzhou, Peoples R China

[9] Chinese PLA, Med Corp, Unit 95982, Beijing, Peoples R China

[10] Huazhong Univ Sci & Technol, Tongji Med Coll, Union Hosp, Dept Orthopaed, Wuhan, Hubei, Peoples R China

[11] Xinjiang Frontier Def Corps Hosp, Dept Gen Surg, Urumqi, Peoples R China

[12] Chinese Phys Assoc, Spinal Trauma Profess Comm, Beijing, Peoples R China

[13] Chinese PLA, Med Corp, 66069 Unit, Beijing, Peoples R China

[14] Chongqing First Aid Ctr, Dept Trauma Surg, Chongqing, Peoples R China

[15] Chinese PLA, Med Corp, Unit 31638, Beijing, Peoples R China

[16] Chinese PLA, Med Corp, Unit 73151, Beijing, Peoples R China

[17] Chinese PLA, Med Corp, Unit 95338, Beijing, Peoples R China

[18] Harbin First Peoples Hosp, Dept Orthopaed, Harbin, Heilongjiang, Peoples R China

[19] Chinese Med Assoc, Trauma First Aid & Multiple Injury Profess Comm, Traumatol Branch, Beijing, Peoples R China

[20] Shenyang Mil Command, Gen Hosp, Peoples Liberat Army, Dept Orthopaed, Shenyang, Liaoning, Peoples R China

[21] Army Med Univ, Daping Hosp, Dept Orthopaed, Chongqing, Peoples R China

[22] Kunming Gen Hosp Chinese PLA, First Aid Dept, Kunming, Yunnan, Peoples R China

[23] Armed Police Logist Hosp, Dept Orthopaed, Tianjin, Peoples R China

[24] Chinese PLA, Med Corp, Unit 31607, Beijing, Peoples R China

[25] Army Med Univ, Xinqiao Hosp, Chongqing, Peoples R China

[26] Army Med Univ, Xinan Hosp, Dept Orthopaed, Chongqing, Peoples R China

[27] Naval Med Univ, Changhai Hosp, Dept Orthopaed, Shanghai, Peoples R China

[28] Affiliated Air Force Mil Med Univ, Xijing Hosp, Dept Orthopaed, Xian, Shaanxi, Peoples R China

[29] Army Med Univ, Xinan Hosp, Dept Emergency, Chongqing, Peoples R China

[30] Armed Police Gen Hosp, Inst Modern Hosp Management, Beijing, Peoples R China

[31] Peking Univ, Peoples Hosp, Dept Traumatol, Beijing, Peoples R China

[32] Chinese PLA, Mil Med Training Brigade, Beijing, Peoples R China

[33] Army Med Univ, Frontier Med Training Grp, Chongqing, Peoples R China

[34] Army Med Univ, Xinqiao Hosp, Dept Orthopaed, Chongqing, Peoples R China

来源：

MILITARY MEDICAL RESEARCH | 2019年 / 6卷 / 1期

关键词：

CERVICAL-SPINE; MILITARY; FRACTURES; IMMOBILIZATION; AFGHANISTAN; PLASMA; IRAQ; COMPLICATIONS; IMPROVEMENT; TRANSFUSION;

D O I：

10.1186/s40779-019-0196-7

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The battlefield treatments of spinal and spinal cord injury vary from civilian settings. However, there is no unified battlefield treatment guidelines for spine trauma in PLA. An expert consensus is reached, based on spine trauma epidemiology and the concepts of battlefield treatment combined with the existing levels of military medical care in modern warfare. Since the specialized treatment for spine trauma are no significant difference between civilian settings and modern war, the first aid, emergency treatment and early treatment of spine trauma are introduced separately in three levels in this consensus. In Level I facilities, the fast and accurate evaluation of spine trauma followed by fixation and stabilization are recommended during the first-aid stage. Re-evaluation, further treatment for possible hemorrhagic shock, dyspnea and infection are recommended at Level II facilities. At Level III facilities, it is recommended to strengthen the intensive care and the prevention of urinary system and lung infection for the wounded with severe spinal injury, however, spinal surgery is not recommended in a battlefield hospital. The grading standard for evidence evaluation and recommendation was used to reach this expert consensus.

引用

页数：11

共 63 条

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