国际创伤生命支持指南流程在急诊创伤患儿中的应用OA
Clinical application of the advanced trauma life support protocol in pediatric emergency trauma patients
目的 探讨国际创伤生命支持指南流程在急诊创伤患儿中的临床应用价值.方法 选取2024年10月至2025年4月期间南华大学附属长沙中心医院(长沙市中心医院)收治的急诊创伤患儿85例为研究对象.根据是否接受国际创伤生命支持指南流程干预分为观察组(40例)和对照组(45例),对照组实施常规救治流程,观察组在对照组基础上,在国际创伤生命支持指南流程指导下对急诊创伤患儿进行救治.比较两组救治时间相关指标(如到达急诊时间、初步评估时间和急救措施开始时间),分析两组干预前后生命体征指标(如收缩压、舒张压、心率及呼吸频率)及血糖、血乳酸水平变化,统计两组预后情况(救治预后情况及并发症发生情况).结果 观察组到达急诊时间、初步评估时间和急救措施开始时间均短于对照组(P<0.05),干预后观察组收缩压、舒张压高于对照组(P<0.05),心率及呼吸频率低于对照组(P<0.05),干预后观察组血糖及血乳酸水平均低于对照组(P<0.05),观察组完全康复率高于对照组(P<0.05),遗留伤数和死亡例数少于对照组(P<0.05),并发症总发生率低于对照组(P<0.05).结论 国际创伤生命支持指南流程在急诊创伤患儿中的应用,缩短了救治相关时间、稳定了患儿生命体征,从而提高了救治效率与质量,并减少了并发症的发生,改善了患儿预后.
Objective To evaluate the clinical value of the Advanced Trauma Life Support(ATLS)protocol in pediatric emergency trauma patients.Methods A total of 85 pediatric trauma patients admitted between October 2024 and April 2025 were retrospectively enrolled.Patients were divided into an intervention group(n=40)and a control group(n=45)based on whether the ATLS protocol was implemented.The control group received conventional emergency management,whereas the intervention group received standardized care guided by the ATLS protocol in addition to routine treatment.Time-related rescue indicators(arrival-to-treatment time,initial assessment time,and time to initiation of emergency interventions),vital signs(systolic blood pressure,diastolic blood pressure,heart rate,and respiratory rate),metabolic parameters(blood glucose and lactate levels),and clinical outcomes(recovery status and complications)were compared between the two groups.Results The intervention group showed significantly shorter arrival-to-treatment time,initial assessment time,and time to initiation of emergency interventions compared with the control group(P<0.05).After intervention,systolic and diastolic blood pressure were higher in the intervention group,while heart rate and respiratory rate were lower(P<0.05).Blood glucose and lactate levels were also significantly reduced in the intervention group(P<0.05).The rate of complete recovery was higher in the intervention group,whereas the number of residual in-juries and deaths was lower(P<0.05).Additionally,the overall complication rate was significantly reduced in the inter-vention group(P<0.05).Conclusion Implementation of the ATLS protocol in pediatric emergency trauma patients can shorten treatment-related time intervals,stabilize vital signs,improve treatment efficiency and quality,reduce complica-tions,and ultimately enhance clinical outcomes.
霍兴晨;邱俊;方懿
南华大学附属长沙中心医院麻醉科(湖南长沙 410006)湖南省人民医院(湖南师范大学附属第一医院)肿瘤二病区(湖南长沙 410016)南华大学附属长沙中心医院麻醉科(湖南长沙 410006)
医药卫生
国际创伤生命支持指南流程管理儿童创伤儿童救治急诊创伤
Advanced Trauma Life Supportprotocol-based managementpediatric traumapediatric treat-mentemergency care
《广东医学》 2026 (6)
852-856,5
湖南省自然科学基金项目(2025JJ80558)
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