协和医学杂志

2018, v.9(02) 150-153

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《非创伤性出血的急诊处理专家共识/意见》解读
Interpretation and Comments on Experts' Consensus/Opinion on the Emergency Treatment for Non-traumatic Hemorrhage

刘红升;赵晓东;
LIU Hong-sheng;ZHAO Xiao-dong;Department of Emergency,the First Affiliated Hospital of Chinese PLA General Hospital;

摘要(Abstract):

非创伤性出血是急诊最常见的急症之一,因其涉及面广、风险性高且救治要求协作性强,对急诊医师临床能力提出了更高要求。急诊医师协会非创伤出血急诊处理专家工作组从定义、分类、急诊临床管理策略和抗凝止血治疗等方面制定了《非创伤性出血的急诊处理专家共识/意见》。该共识/意见从急诊救治的临床实操出发,切实突出急诊救治的首要原则:优先保证基本生命体征平稳,然后再诊治具体出血原因。该共识还强调A(air,气道)、B(breath,呼吸)、C(circulation,循环)管理及评估与处置相结合的重要性,同时将临床医生较棘手的止、凝血治疗作了重点阐述。本文针对此版共识/意见的指导要点进行解读,以利于各科医师更全面深入掌握该类急症的处置方法,提高临床救治效率。
Non-traumatic hemorrhage,as one of the most common acute emergencies with a wide range,high risk,and multiple disciplines,requires emergency physicians to have a higher clinical ability. The first edition of Experts' Consensus/Opinion on the Emergency Treatment for Non-traumatic Hemorrhage was formulated in 2017 by Chinese College of Emergency Physician,which consists of definitions,classifications,clinical management strategies and emergency anticoagulation haemostatic treatment for patients with non-traumatic hemorrhage.Based on the clinical practice of emergency care,the consensus emphasizes life saving as the first priority. The principle is Firstly guarantee basic vital signs and then find out the source of bleeding and give pertinent treatments. The consensus also emphasizes the importance of evaluation and management of air,breath,and circulation,as well as the importance of stopping the bleeding and coagulation for these patients. Based on the experts' consensus/opinion,this article focuses on interpretation so that physicians can grasp the emergency approach and methods more comprehensively to improve the efficiency of clinical treatment.

关键词(KeyWords): 非创伤性出血;急诊,处理;对因治疗
non-traumatic hemorrhage;emergency;management;etiological treatment

Abstract:

Keywords:

基金项目(Foundation): 国家杰出青年基金(30125020)

作者(Author): 刘红升;赵晓东;
LIU Hong-sheng;ZHAO Xiao-dong;Department of Emergency,the First Affiliated Hospital of Chinese PLA General Hospital;

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