钝性胰腺创伤：西部创伤协会关键决策算法。

Blunt pancreatic trauma: A Western Trauma Association critical decisions algorithm.

机构信息

From the Salem Health Hospital (A.M.M.), Salem, Oregon; Oregon Health & Science University (A.M.M.), Portland, Oregon; Scripps Memorial Hospital La Jolla (W.L.B.), La Jolla, California; University of Calgary (C.G.B.), Calgary, Canada; Medical College of Wisconsin (M.d.M.), Milwaukee, Wisconsin; Oregon Health Science University (K.J.B.), Portland, Oregon; Dell Medical School (C.V.R.B.), University of Texas at Austin, Austin, Texas; University of Kansas Medical Center (J.L.H.), Kansas City, Kansas; University of Southern California (K.I.), Los Angeles, California; Cedars-Sinai Medical Center (E.J.L.), Los Angeles, California; Ernest E Moore Shock Trauma Center (E.E.M.), Denver, Colorado; Scripps Mercy Hospital (K.A.P.), San Diego, California; Guthrie Health System (A.G.R.), Sayre, Pennsylvania; Children's Hospital (N.G.R.), Cincinnati, Ohio; University of Pittsburgh (J.L.S.), Pittsburgh, Pennsylvania; St. Joseph's Hospital and Medical Center (J.A.W.), Phoenix, Arizona; Riverside University Health System Medical Center (R.S.C.), Riverside, California; University of California (D.V.S.), Davis, Sacramento, California; and Keck School of Medicine (M.J.M.), Los Angeles, California.

出版信息

J Trauma Acute Care Surg. 2023 Mar 1;94(3):455-460. doi: 10.1097/TA.0000000000003794. Epub 2022 Nov 18.

DOI:10.1097/TA.0000000000003794

PMID:36397206

Abstract

BACKGROUND

The Western Trauma Association (WTA) has undertaken publication of best practice clinical practice guidelines on multiple trauma topics. These guidelines are based on scientific evidence, case reports, and best practices per expert opinion. Some of the topics covered by this consensus group do not have the ability to have randomized controlled studies completed because of complexity, ethical issues, financial considerations, or scarcity of experience and cases. Blunt pancreatic trauma falls under one of these clinically complex and rare scenarios. This algorithm is the result of an extensive literature review and input from the WTA membership and WTA Algorithm Committee members.

METHODS

Multiple evidence-based guideline reviews, case reports, and expert opinion were compiled and reviewed.

RESULTS

The algorithm is attached with detailed explanation of each step, supported by data if available.

CONCLUSION

Blunt pancreatic trauma is rare and presents many treatment challenges.

摘要

背景

西部创伤协会（WTA）已经承担了多个创伤主题的最佳实践临床实践指南的出版工作。这些指南是基于科学证据、病例报告和专家意见的最佳实践。由于复杂性、伦理问题、财务考虑因素或经验和病例的稀缺性，本共识小组涵盖的一些主题无法完成随机对照研究。钝性胰腺创伤属于其中一种临床复杂且罕见的情况。该算法是对广泛的文献回顾以及 WTA 成员和 WTA 算法委员会成员的意见的总结。