大规模伤亡事件创伤救治的现状与发展.pdfVIP

中华灾害救援医学 2025年1月 第12卷 第1期 Chinese Journal of Disaster Medicine, Vol.12, No.1, January, 20251

· 专家述评 | EXPERT COMMENTARY ·

大规模伤亡事件创伤救治的现状与发展

11113111,2

李晓雪，郑徳彬，赵培，李晨，姚远，王彬华，郝昱文，付小兵

【摘要】 重大灾难事故往往造成的大规模伤亡事件，具有批量伤员并发、伤情严重多变、伤类复合复杂、救

治需求迅速压到当地医疗资源等特点，成为平时创伤救治体系应对的难点。本文回顾了近20年来国际及我国自

然灾害、事故灾难的流行病学特点，论述了现代创伤的致伤原因、特点趋势；对比先进国家的主要做法，分析了我

国创伤体系在一线救治技术、装备和培训等方面问题；最后提出了发展的具体建议。

【关键词】创伤和损伤；应急医学；医学救援

【中图分类号】R8

CurrentStatusandDevelopmentofTraumaCareforMassCasualtyIncident

11113111,2

LIXiaoxue,ZHENGDebin,ZHAOPei,LIChen,YAOYuan,WANGBinhua,HAOYuwen,FUxiaobing.

1.MedicalInnovationResearchDepartmentPLAGeneralHospital,Beijing100048,P.R.China;2.PLAMedical

College,Beijing100048,P.R.China;3.The903rdHospitalofJointLogisticsSupportForceofthePLA,

Hangzhou,Zhejiang,310013.

Correspondingauthor:FuXiaobing,E-mail:fuxiaobing@vip.sina.com

[Abstract]Theseverenaturalortechnologicaldisastersusuallycausedthemassivecasualtyincidentcharac-

terizedbyalargenumberofcasualties,severeinjuriesandcomplexinjurypatterns,andalocalmedicalresources

squeeze,presentingadifficultchallengetothepeacetimetraumacaresystem.Thispaperreviewedtheepidemiological

characteristicsofinternationalandChinesenaturaldisastersandtechnologicalaccidentsinthepast20years,discussed

theprimarymechanismsandtrendsinfeaturesofmoderntrauma.Comparingthemainpracticesofadvancedcoun-

tries,weanalyzedtheproblemsofChinesetraumacaresystemintermsoffirst-linetreatmenttechnology,equipment

andtraining.Ultimately,weputforwardspecificrecommendationstoimprovethecapacityoftraumacareinChina.

[keywords]WoundsandInjuries;trauma;Emergencymedicin