Department of Trauma Surgery, State Key Laboratory of Trauma, Burns and Combined Injury, Daping Hospital, Third Military Medical University, ChongQing 400042, PR China.
Injury. 2011 Sep;42(9):874-8. doi: 10.1016/j.injury.2010.09.034. Epub 2010 Nov 14.
To investigate the current state of trauma care in mainland China, and to propose possible future suggestions for the development of the trauma care system in mainland China.
An extensive Medline/PubMed search on the topic of trauma care or trauma care system was conducted. Publications in Chinese that could best describe the state of trauma care in China were also included. In addition, two meetings were held by Group for Trauma Emergency Care and Multiple Injuries, Trauma Society of Chinese Medical Association to discuss the development and perspectives of trauma care system in mainland China. Important conclusions from the two meetings were included in this publication.
Trauma has become an increasing public health problem in mainland China in association with the rapid growth of the economy over the past 30 years. Although great progress has been made in regards to the care of the injured, there is still no government agency dedicated to deal with trauma-related issues, or a national trauma care system operating on the Chinese mainland. Various trauma prevention measures have been taken, but with little effect. Funds contributed to trauma-related research has increased in recent years and promoted rapid development in this field, but further improvement in research is needed. However, many groups such as the Trauma Society of the Chinese Medical Association have continued to explore mechanisms for the treatment of trauma patients and have developed various types of regional trauma care systems, resulting in improved trauma care and a better outcome for the injured.
Although great progress has been made in trauma care in mainland China, there are many failings. To improve trauma care in China, the establishment of a sophisticated trauma system and various enhancements on trauma prevention are urgently required.
调查中国大陆创伤救治的现状，并为中国大陆创伤救治体系的发展提出可能的未来建议。
对创伤救治或创伤救治体系进行广泛的 Medline/PubMed 检索。还纳入了能够最好地描述中国创伤救治状况的中文出版物。此外，创伤急救与多发伤专业委员会召开了两次会议，讨论中国大陆创伤救治体系的发展和展望。本次发表的内容包括两次会议的重要结论。
在过去 30 年经济快速增长的背景下，创伤已成为中国大陆日益严重的公共卫生问题。尽管在伤员救治方面取得了巨大进展，但仍没有专门负责处理创伤相关问题的政府机构或在中国大陆运行的国家创伤救治体系。虽然已经采取了各种创伤预防措施，但收效甚微。近年来，用于创伤相关研究的资金有所增加，推动了该领域的快速发展，但仍需进一步改进研究。然而，许多团体，如中国医师协会创伤外科医师分会，一直在探索创伤患者治疗机制，并开发了各种类型的区域性创伤救治体系，从而改善了创伤救治效果，提高了伤员的救治结局。
尽管中国大陆在创伤救治方面取得了巨大进展，但仍存在许多不足之处。为了改善中国的创伤救治，迫切需要建立完善的创伤救治体系，并加强各种创伤预防措施。
