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《2020年中国冻伤防治专家共识》

Expert consensus on the prevention, diagnosis and treatment of cold injury in China, 2020.

作者信息

Jin Hong-Xu, Teng Yue, Dai Jing, Zhao Xiao-Dong

机构信息

Emergency Medicine Department, General Hospital of the Northern Theater Command, Shenyang, 110016, China.

Department of Emergency Medicine, the Fourth Medical Center, Chinese PLA General Hospital, Beijing, 100048, China.

出版信息

Mil Med Res. 2021 Jan 21;8(1):6. doi: 10.1186/s40779-020-00295-z.

DOI:10.1186/s40779-020-00295-z
PMID:33472708
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7818913/
Abstract

Cold injury refers to local or systemic injury caused by a rapid, massive loss of body heat in a cold environment. The incidence of cold injury is high. However, the current situation regarding the diagnosis and treatment of cold injury in our country is not ideal. To standardize and improve the level of clinical diagnosis and treatment of cold injury in China, it is necessary to make a consensus that is practical and adapted to the conditions in China. We used the latest population-level epidemiological and clinical research data, combined with relevant literature from China and foreign countries. The consensus was developed by a joint committee of multidisciplinary experts. This expert consensus addresses the epidemiology, diagnosis, on-site emergency procedures, in-hospital treatment, and prevention of cold injury.

摘要

冷损伤是指在寒冷环境中,因机体热量迅速大量丧失而导致的局部或全身性损伤。冷损伤的发病率较高。然而,我国目前冷损伤的诊断和治疗现状并不理想。为规范并提高我国冷损伤的临床诊断和治疗水平,有必要制定一份切实可行且符合我国国情的共识。我们运用了最新的人群水平的流行病学和临床研究数据,并结合国内外相关文献。该共识由多学科专家联合委员会制定。本专家共识涉及冷损伤的流行病学、诊断、现场急救程序、院内治疗及预防。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/83f2/7818913/4162583eb576/40779_2020_295_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/83f2/7818913/b8b8fb10d4d8/40779_2020_295_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/83f2/7818913/4162583eb576/40779_2020_295_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/83f2/7818913/b8b8fb10d4d8/40779_2020_295_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/83f2/7818913/4162583eb576/40779_2020_295_Fig2_HTML.jpg

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本文引用的文献

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Burns and frostbite in the Red Army during World War II.二战时期红军的烧伤和冻伤。
Mil Med Res. 2017 Feb 8;4:5. doi: 10.1186/s40779-017-0114-9. eCollection 2017.
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Update: Cold weather injuries, active and reserve components, U.S. Armed Forces, July 2011-June 2016.更新:2011年7月至2016年6月美国武装部队现役和预备役部队的寒冷天气伤病情况
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Freezing and non-freezing cold weather injuries: a systematic review.冻伤和非冻结性冷伤:系统评价。
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Training videos to prevent cold weather injuries.预防寒冷天气损伤的培训视频。
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Mil Med Res. 2022 Jun 10;9(1):27. doi: 10.1186/s40779-022-00388-x.
7
Optimal level of positive end-expiratory pressure during nasal continuous airway pressure for severe bronchiolitis: a prospective study.鼻持续气道正压通气治疗重症细支气管炎时呼气末正压的最佳水平:一项前瞻性研究
Transl Pediatr. 2021 Jul;10(7):1843-1850. doi: 10.21037/tp-21-205.
Br Med Bull. 2016 Mar;117(1):79-93. doi: 10.1093/bmb/ldw001. Epub 2016 Feb 12.
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Neurosensory and vascular function after 14 months of military training comprising cold winter conditions.在包含寒冷冬季条件的14个月军事训练后的神经感觉和血管功能。
Scand J Work Environ Health. 2016 Jan;42(1):61-70. doi: 10.5271/sjweh.3530. Epub 2015 Oct 16.
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Non-freezing cold injury.非冻结性冷损伤
J R Nav Med Serv. 2014;100(3):268-71.
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Wilderness Medical Society practice guidelines for the prevention and treatment of frostbite: 2014 update.荒野医学协会冻伤预防与治疗实践指南:2014年更新版
Wilderness Environ Med. 2014 Dec;25(4 Suppl):S43-54. doi: 10.1016/j.wem.2014.09.001.
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Accidental hypothermia.意外低温
N Engl J Med. 2012 Nov 15;367(20):1930-8. doi: 10.1056/NEJMra1114208.
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Wilderness Medical Society practice guidelines for the prevention and treatment of frostbite.荒野医学协会冻伤防治实践指南。
Wilderness Environ Med. 2011 Jun;22(2):156-66. doi: 10.1016/j.wem.2011.03.003.
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