以循证医学的为依据的创伤处理指南.pdfVIP

1·56 · 创伤外科杂志 2004 年第 6 卷第 2 期 　J Trauma Surg ,2004 ,Vol. 6 ,NO. 2 ( ) 文章编号 :1009 - 4237 2004 02 - 0156 - 03 ·讲　座· 以循证医学为依据的创伤处理指南 孙海晨 ,唐文杰 ,吴学豪 ,钱晓明 (南京军区南京总医院急诊中心 ,江苏 南京 　210002) 　　摘要 : 　本文以循证医学为基础 ,总结了 10 类常见严重创伤的急救处理指南 , 以及运用特殊的分析方法 和决策手段来评估临床资料 ,制定医疗卫生决策、规范医疗服务行为 ,从而提供经济、高效的医疗服务。通 过筛选高质量的临床证据 ,对创伤进行系统的评估 ,使医护工作实践基于合理的证据 ,而非主观经验之上 , 并利用证据建立标准化的医疗护理体系 , 以达到改善病人预后、减少医疗费用之目的。 关键词 : 循证医学 ; 创伤 中图分类号:R 64 　　文献标识码 :A Evidencebased trauma management guidelines SUN Haichen , TANG Wenjie , WU Xuehao , et al . ( Emergency Center of the General Hospital of Nanjing Military Command ,Nanjing　210002 ,China) Abstract : 　Ten common traumas were included in this study. The guidelines of the management of these traumas were suggested according to the evidencebased practice. Special analytic and decisional ways were applied to evaluate the cases ,to make our medical decisions and to standardize the medical actions ,so that an economic and efficient medical ser vice can be applied. The medical practice can be based on reasonable evidence ,and not only on subjective experience. Thus ,a standardized treatment and nursing system can be established. Key words : evidencebased practice ; trauma ( ( ) ( 　　美国东部创伤外科学会 The Eastern Association for the Ⅱ级建议: 1 如 ECG 不正常 心律失常、ST 改变、缺血 ) ) Surgery of Trauma ,EAST 组织有关创伤外科专家选择若干临 性改变、传导阻滞、不能解释的 ST ,患者应入院进行 ECG 监