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2020 年创伤学的新进展

What's new in trauma 2020.

机构信息

State Key Laboratory of Trauma, Burns and Combined Injury, Research Institute of Surgery, Daping Hospital, Army Medical University, Chongqing, 400042, China.

State Key Laboratory of Trauma, Burns and Combined Injury, Research Institute of Surgery, Daping Hospital, Army Medical University, Chongqing, 400042, China.

出版信息

Chin J Traumatol. 2021 Mar;24(2):63-68. doi: 10.1016/j.cjtee.2021.02.001. Epub 2021 Feb 1.

Abstract

Throughout the past 2020, the pandemic COVID-19 has caused a big global shock, meanwhile it brought a great impact on the public health network. Trauma emergency system faced a giant challenge and how to manage trauma under the pandemic of COVID-19 was widely discussed. However, the trauma treatment of special population (geriatric patients and patients taking anticoagulant drugs) has received inadequate attention. Due to the high mortality following severe traumatic hemorrhage, hemostasis and trauma-induced coagulopathy are the important concerns in trauma treatment. Sepsis is another topic should not be ignored when we talking about trauma. COVID-19 itself is a special kind of sepsis, and it may even be called as serious systemic infection syndrome. Sepsis has been become a serious problem waiting to be solved urgently no matter in the fields of trauma, or in intensive care and infection, etc. This article reviewed the research progress in areas including trauma emergency care, trauma bleeding and coagulation, geriatric trauma and basic research of trauma within 2020.

摘要

在过去的 2020 年中,COVID-19 大流行引起了全球巨大的冲击,同时对公共卫生网络造成了巨大影响。创伤急救系统面临巨大挑战,如何在 COVID-19 大流行下管理创伤成为广泛讨论的话题。然而,特殊人群(老年患者和抗凝药物患者)的创伤治疗受到了不足够的关注。由于严重创伤性出血后的高死亡率,止血和创伤性凝血病是创伤治疗中的重要关注点。脓毒症也是创伤治疗中不可忽视的另一个话题。COVID-19 本身就是一种特殊的脓毒症,甚至可以称之为严重的全身感染综合征。脓毒症无论是在创伤、重症监护还是感染等领域,都已经成为一个亟待解决的严重问题。本文回顾了 2020 年创伤急救护理、创伤出血和凝血病、老年创伤以及创伤基础研究等领域的研究进展。

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