战创伤血气胸前线救治专家共识

李壮; 叶文; 鲍峰; 黄中会; 陈敏; 耿丽; 姜学东; 李成林; 李国强; 李贺; 李峤珂; 刘永靖; 彭雪; 盛明辉; 史劲飞; 孙艳军; 宋志明; 谭丹; 王韬渊; 王修来; 吴鹏飞; 徐宁; 易云峰; 张茜利; 张志豪; 赵辉; 曾小琴; 邹最; 孙登群

doi:10.3969/j.issn.1004-3594.2026.04.001

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武警医学 ›› 2026, Vol. 37 ›› Issue (4) : 277-284. DOI: 10.3969/j.issn.1004-3594.2026.04.001

专家共识

战创伤血气胸前线救治专家共识

李壮¹, 叶文¹, 鲍峰¹, 黄中会¹, 陈敏², 耿丽³, 姜学东⁴, 李成林⁵, 李国强⁶, 李贺⁷, 李峤珂⁵, 刘永靖⁸, 彭雪¹, 盛明辉¹, 史劲飞¹, 孙艳军¹, 宋志明⁹, 谭丹¹⁰, 王韬渊⁶, 王修来¹¹, 吴鹏飞¹², 徐宁¹³, 易云峰⁹, 张茜利¹⁴, 张志豪¹⁴, 赵辉¹², 曾小琴¹⁵, 邹最¹⁶, 孙登群¹

作者信息 +

文章历史 +

摘要

战创伤血气胸是前线高发的致命性胸部损伤,具有伤情演变快、早期病死率高的特征。受限于恶劣战场环境、匮乏医疗资源及延迟的后送链条,当前一线救治面临标准缺失与规范化程度不足的严峻挑战。为此,武警部队战创伤研究专家组,组织急救、胸外、创伤及重症等多学科专家,基于最新循证医学证据并紧贴实战经验,制定本共识。本共识围绕战创伤血气胸的早期快速识别、紧急处置、损伤控制及全维后送等核心环节,提炼出17条具有明确证据支持与实战可操作性的推荐意见。旨在为战地军医及一线救治人员提供科学、规范的实战化技术遵循,以推动前线救治的同质化水平,显著降低伤员早期病死率并提升卫勤保障核心能力。

关键词

战创伤 / 血气胸 / 前线救治 / 专家共识 / 损伤控制

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李壮, 叶文, 鲍峰, 黄中会, 陈敏, 耿丽, 姜学东, 李成林, 李国强, 李贺, 李峤珂, 刘永靖, 彭雪, 盛明辉, 史劲飞, 孙艳军, 宋志明, 谭丹, 王韬渊, 王修来, 吴鹏飞, 徐宁, 易云峰, 张茜利, 张志豪, 赵辉, 曾小琴, 邹最, 孙登群. 战创伤血气胸前线救治专家共识[J]. 武警医学. 2026, 37(4): 277-284 https://doi.org/10.3969/j.issn.1004-3594.2026.04.001

中图分类号： R655 R826.1

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