四肢骨折合并颅脑损伤手术治疗专家共识
万中元1
高杰1
林宜磒1
柴伟1
李绍光1
李运军2
何红英1
王晔来3
韩力1
郭艳辉3
史纪1
张熔基1
田坤4
宋芳5
侯颖5
张建政1
张志成1
唐佩福1
孙天胜1
1.100853 北京,国家骨科与运动康复临床医学研究中心;100048 北京,中国人民解放军总医院第四医学中心骨科学部2.100039 北京,中国人民解放军总医院第一医学中心神经外科学部3.100853 北京,国家骨科与运动康复临床医学研究中心;100070 北京,中国人民解放军总医院第七医学中心骨科4.100040 北京,中铁建设集团有限公司5.100088 北京,中国人民解放军火箭军特色医学中心口腔科
摘要：The incidence of limb fracture is very high in patients with multiple injuries.In addition to limb fracture,some patients have traumatic brain injury as well.When severe traumatic brain injury is combined with limb fracture,the injury is often critical and complicated,with high mortality and poor prognosis.The final treatment outcomes of patients depend on injury evaluation and resuscitation,operation time,anesthesia mode,perioperative pain management,blood transfusion,nutrition and other perioperative issues.It is of great significance to master the correct evaluation method,choose the appropriate treatment strategy and reduce the risk of second-hit to the brain for the treatment of limb fracture complicated with traumatic brain injury.At present,there is no clinical guideline or expert consensus on the surgical treatment of limb fractures combined with traumatic brain injury.In view of this,the National Orthopaedic and Sports Rehabilitation Clinical Research Center launches the Expert Consensus on the Surgical Treatment of Limb Fractures combined with Craniocerebra Injury.Seven clinical problems that orthopaedic surgeons most concern about are selected,and relevant recommendations are finally formed,aiming at summarizing relevant treatment experience,guiding further clinical practice,and improving the treatment effect of limb fracture patients combined with traumatic brain injury.
关键词：颅脑损伤骨折四肢多处创伤矫形外科手术
分类号：R683.4(骨科学（运动系疾病、矫形外科学）)
资助基金：军队后勤重大科研项目(ALB23J002)军队装备科学研究项目(LB2022B020200)解放军总医院新技术项目(2023102)北京市自然科学项目(7232165)河南省重点研发专项(231111310100)
论文发表日期：2024-09-19
在线出版日期：2025-08-15（本平台首次上网日期，不代表文献的发表时间）
页数：12( 698-709 )
英文信息