摘要严重创伤多为高能量损伤,多发伤发生率高。院内早期合理的评估和复苏是救治成功的关键。创伤复苏单元(TRB)是院内早期评估和复苏严重创伤的主要区域,能够最大限度保障快速抢救。目前,对于严重创伤,院内早期救治大多集中在急诊抢救室进行,但存在很多弊端,如空间有限创伤救治团队难以有效施救、床旁影像学检查难以展开、救命性操作难以顺利进行、影响内科急症患者的救治等,均导致创伤早期救治质量下降。随着创伤中心建设的深入和拓展,专门用于严重创伤早期评估和复苏处置的TRB应运而生。笔者根据我国创伤救治体系的特点,对TRB的特征和优势、功能和运行要求,不同级别创伤中心TRB组成要素及中国TRB建设现状进行探讨,为各级创伤中心建设TRB提供借鉴。
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abstractsSevere trauma is almost caused by a high energy damage, with a high incidence rate of multiple injuries. Reasonable assessment and resuscitation in hospital at early stage is key to successful care. Trauma resuscitation bay(TRB)is the primary area for early assessment and resuscitation in hospital, which can ensure the rapid rescue to the greatest extent. At present, the early treatment for patients with severe trauma is mainly conducted in the emergency room, which presents many disadvantages that may lead to a decline in the quality of early treatment of trauma. For example, in the limited space, a resucue team is unable to carry out, and bedside radiographic examinations, life-saving operations and rescue for internal emergency patients are affected. With the development of trauma center construction, TRB specifically for early assessment, resuscitation and emergency management of severe trauma comes into being. According to the characters of China's trauma rescue system, the authors illustrate the characteristics, advantages, functions and operational requirements of TRB, the components of TRB at different levels of trauma centers, and the status of TRB construction in China, so as to provide a reference for the construction of TRB at various levels.
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