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| 1 | 现代骨盆战伤分级救治专家共识显示文摘骨盆骨折约占全身骨折的3%,其中,低能量引起的骨盆骨折多为稳定骨折或为轻度不稳定骨折,不合并其他部位的损伤,治疗相对简单;而高能量损伤多导致不稳定型骨盆骨折,且容易引发致命性大出血、脏器损伤、感染等合并症或并发症,死亡发生率高达5%-20%。在越南战争等早期战争中,骨盆战伤的发生率相对较低,而在伊拉克和阿富汗战争中. | 宗兆文 陈思旭 秦昊 梁华平 杨磊 赵玉峰 中国医学救援协会创伤分会 中华医学会创伤分会青年委员会 全军灾难医学专委会及青年委员会 重庆市中西医结合学会灾难医学分会 | 2018 | 解放军医学杂志2018，43，7： | 22 |
| 2 | 创伤性凝血病的机制和诊断评估进展显示文摘创伤性凝血病(TIC)是创伤早期内源性因素引发的凝血功能障碍,具有病理机制复杂、表型多样、多因素参与、时间敏感和死亡风险高的特点。在传统凝血筛查基础上,联合粘弹性凝血检测和输血评分可促进对TIC的早期识别。对于TIC的发病机制、检测技术、诊断标准和预测评分的研究尚存在许多空白和不一致,本文就相关研究进展介绍如下。 | 彭博 刘代红 | 2020 | 中华医学杂志2020，100，12： | 19 |
| 3 | 现代胸部战伤分级救治的专家共识显示文摘历次战争中,胸部战伤发生率占伤员总数的4.4%-33.0%,是战伤阵亡和伤死的重要原因,占所有可预防战伤伤亡原因的1%-3%。在近年美军主导的自由伊拉克行动(Operation Iraqi Freedom,OIF)和持久自由行动(Operation Enduring Freedom,OEF)中,胸部战伤呈现与既往战伤不同的流行病学特点和救治需求。 | 宗兆文 王志农 陈思旭 秦昊 张连阳 沈岳 杨磊 杜文琼 陈灿 钟鑫 张琳 霍江涛 蒯丽萍 舒丽芯 杜国福 赵玉峰 无 | 2018 | 解放军医学杂志2018，43，11： | 16 |
| 4 | 海战伤合并海水浸泡的伤情特点和伤口处理要点显示文摘武器损伤和海洋生物伤等海战伤合并海水浸泡,是部队登岛作战中最常遇到的战创伤类型。海水具有低温、高盐、高渗、碱性、多细菌等特点,海水浸泡后伤口容易出现高渗性水肿、组织变性坏死和感染、延迟愈合等严重问题。文章就海战伤合并海水浸泡的伤情特征和主要问题、现场处理和后续伤口护理的关键技术进行综述,旨在为有效处理此类战创伤提供指导。 | 蒋琪霞(综述) 袁斯明(审校) | 2022 | 医学研究生学报2022，35，8： | 5 |
| 5 | Chinese expert consensus on the treatment of modern combat-related spinal injuries显示文摘The battlefield treatments of spinal and spinal cord injury vary from civilian settings. However, there is no unified battlefield treatment guidelines for spine trauma in PLA. An expert consensus is reached, based on spine trauma epidemiology and the concepts of battlefield treatment combined with the existing levels of military medical care in modern warfare. Since the specialized treatment for spine trauma are no significant difference between civilian settings and modern war, the first aid, emergency treatment and early treatment of spine trauma are introduced separately in three levels in this consensus. In Level I facilities, the fast and accurate evaluation of spine trauma followed by fixation and stabilization are recommended during the first-aid stage. Re-evaluation, further treatment for possible hemorrhagic shock, dyspnea and infection are recommended at Level II facilities. At Level III facilities, it is recommended to strengthen the intensive care and the prevention of urinary system and lung infection for the wounded with severe spinal injury, however, spinal surgery is not recommended in a battlefield hospital. The grading standard for evidence evaluation and recommendation was used to reach this expert consensus. | Zhao-Wen Zong Hao Qin Si-Xu Chen Jia-Zhi Yang Lei Yang Lin Zhang Wen-Qiong Du Xin Zhong Ren-Jie Zhou Dan Tan Hao Wu | 2019 | Military Medical Research2019，6，2： | 5 |
| 6 | 现代脊柱战伤分级救治专家共识显示文摘脊柱骨折在平时是常见的创伤,约占全身骨折总数的4.3%,约有10%的脊柱骨折伴有脊髓损伤。在越南战争等历次战争中,脊柱损伤的发生率约为1.0%,而在自由伊拉克行动(Operation Iraqi Freedom,OIF)和持久自由行动(Operation Enduring Freedom,OEF)中,脊柱脊髓战伤的发生率为5.4%~11.0%,呈现上升的趋势。战时脊柱脊髓损伤的救治与平时有诸多的不同点:民用医疗中心对脊柱脊髓损伤的处理主要依赖于急诊医疗系统救护人员的能力,先用脊柱固定装置固定患者,然后将患者转运到创伤中心接受确定性治疗。 | 宗兆文 秦昊 陈思旭 杨磊 杜文琼 钟鑫 张琳 周人杰 谭丹 吴昊 | 2019 | 解放军医学杂志2019，44，12： | 4 |
| 7 | 急性皮肤创伤快速处理方法显示文摘急性皮肤创伤(acute skin trauma,AST)是部队官兵日常训练中常见的一种损伤类型,多见于四肢,分为闭合性损伤(皮下血肿、皮下瘀伤等)和开放性损伤[1-2](皮肤挫裂伤、擦伤等,见图1、2)。在海洋中武装泅渡训练时还有可能出现海水浸泡皮肤损伤,因海水中富含各种微生物而容易继发感染[3]。 | 蒋琪霞 | 2022 | 创伤外科杂志2022，24，2： | 2 |
| 8 | 论检验医学在灾难医学中的应用显示文摘在灾难医学中,检验医学是必不可少的分支,但又区别于常规的医院检验科和第三方检验机构,应快速、及时、简便,以达到配合急救、挽救生命的目的。笔者对检验医学在灾难医学中的应用及应急医疗队实验室的建设进行了归纳总结。 | 谭光坤 吴文娟 杨思敏 孙贵新 | 2019 | 中华灾害救援医学2019，7，12： | 1 |
| 9 | Chinese expert consensus on echelons treatment of thoracic injury in modern warfare显示文摘The emergency treatment of thoracic injuries varies of general conditions and modern warfare. However, there are no unified battlefield treatment guidelines for thoracic injuries in the Chinese People's Liberation Army(PLA). An expert consensus has been reached based on the epidemiology of thoracic injuries and the concept of battlefield treatment combined with the existing levels of military medical care in modern warfare. Since there are no differences in the specialized treatment for thoracic injuries between general conditions and modern warfare, first aid, emergency treatment, and early treatment of thoracic injuries are introduced separately in three levels in this consensus. At Level Ⅰfacilities, tension pneumothorax and open pneumothorax are recommended for initial assessment during the first aid stage. Re-evaluation and further treatment for hemothorax, flail chest, and pericardial tamponade are recommended at Level Ⅱ facilities. At Level Ⅲ facilities, simple surgical operations such as emergency thoracotomy and debridement surgery for open pneumothorax are recommended. The grading standard for evidence evaluation and recommendation was used to reach this expert consensus. | Zhao-Wen Zong Zhi-Nong Wang Si-Xu Chen Hao Qin Lian-Yang Zhang Yue Shen Lei Yang Wen-Qiong Du Can Chen Xin Zhong Lin Zhang Jiang-Tao Huo Li-Ping Kuai Li-Xin Shu Guo-Fu Du Yu-Feng Zhao | 2019 | Military Medical Research2019，6，1： | 0 |
| 10 | Chinese expert consensus on echelons treatment of pelvic fractures in modern war显示文摘The characteristics and treatment of pelvic fractures vary between general conditions and modern war. An expert consensus has been reached based on pelvic injury epidemiology and the concepts of battlefield treatment combined with the existing levels of military medical care in modern warfare. According to this consensus, first aid, emergency treatment and early treatment of pelvic fractures are introduced in three separate levels. In Level Ⅰ facilities, simple triage and rapid treatment following the principles of advanced trauma life support are recommended to evaluate combat casualties during the first-aid stage. Re-evaluation, further immobilization and fixation, and hemostasis are recommended at Level Ⅱ facilities. At Level Ⅲ facilities, the main components of damage control surgery are recommended, including comprehensive hemostasis, a proper resuscitation strategy, the treatment of concurrent visceral and blood vessel damage, and battlefield intensive care. The grading standard for evidence evaluation and recommendation was used to reach this expert consensus. | Zhao-Wen Zong Si-Wu Chen Hao Qin Hua-Ping Liang Lei Yang Yu-Feng Zhao | 2018 | Military Medical Research2018，5，4： | 0 |
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