复杂四肢战争伤口管理的临床指南:使用混合方法方法的更新和共识
Samual Snelling1, Harry Claireaux2,3,4, Harrison Roocroft1
1Department of Research & Clinical Innovation, Academic Department of Military Surgery & Trauma, Birmingham, UK.
BJS open
|March 5, 2026
概括
制定了更新的指导方针,用于在战斗中伤亡的肢体创伤的管理. 这些基于证据的建议旨在改善手术结果,并在军事和民间冲突中拯救肢体.
科学领域:
- 创伤外科 手术 创伤外科
- 整形整形手术 整形整形手术
- 军事医学 军事医学
背景情况:
- 肢体创伤是战争伤亡中的重大伤害.
- 对于复杂的伤口,越来越多地采用民用整形整形方法.
- 开放性骨折和战争伤口的有效管理对于最佳结果至关重要.
研究的目的:
- 为部署的外科医生提供最新的指导方针,以管理与战斗有关的四肢创伤.
- 将现代冲突管理策略纳入外科实践.
主要方法:
- 进行了系统的文献审查.
- 修改后的Delphi技术和共识会议与军事顾问一起用于创伤/骨科和塑料/重建手术.
- 专家意见和当前证据为更新的指南提供了基础.
主要成果:
- 删除了之前的八个建议.
- 制定了21项新的建议.
- 该指南涵盖了伤口切除,灌和战斗伤口的关闭.
结论:
- 准备好的外科医生和基于证据的指导对于在战斗中伤亡人员的生命和肢体的拯救至关重要.
- 这些建议提供了整形外科医生和整形外科医生的共识.
- 这些指导方针可以帮助NHS外科医生准备大规模作战行动和遣返患者.
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