中国实用外科杂志2026，Vol.46Issue(5)：620-623,4.DOI:10.19538/j.cjps.issn1005-2208.2026.05.04
进一步提高普通外科危重症病人诊疗水平
Innovative integration to improve the diagnosis and treat-ment level of critically ill patients in general surgery
摘要
Abstract
Advances in the diagnosis and treatment of critical surgical patients stem from the integration of critical care medicine,general surgery,and multidisciplinary collaboration.Progress in Intensive Care Medicine(ICU)includes fluid resuscitation,mechanical ventilation,continuous renal replacement therapy,extracorporeal membrane oxygenation and point-of-care ultrasound.The De-escalation concept helps avoid complications such as ventilator-associated pneumonia and catheter-related infections from prolonged support care.The widespread application of damage control surgery has significantly improved the survival rate of critically ill surgical patients.Surgical interventions for critically ill patients encompass laparotomy,percutaneous drainage,removal or replacement of drainage tubes,bedside debridement and hemostasis,open abdomen therapy,and vascular interventional procedures.Planned laparotomy and staged surgeries are particularly suitable for critically ill abdominal surgery patients whose conditions remain unstable.Surgeons should select the appropriate timing and surgical approaches based on the patient's condition.The key to treating surgical critically ill patients lies in the active cooperation of surgeons and ICU physicians.Acute care surgery has developed,and acute care surgeons are trained to specially treat surgical critical illness,trauma and emergency surgical patients.This integrated model has effectively enhanced surgeons' ability to treat critically ill surgical patients and is worthy of promotion.关键词
急重症/急重症外科学/重症医学/外科救援/损伤控制外科/降阶梯Key words
critical illness/acute care surgery/critical care medicine/surgical rescue/damage control surgery/de-escalation分类
医药卫生引用本文复制引用
任建安..进一步提高普通外科危重症病人诊疗水平[J].中国实用外科杂志,2026,46(5):620-623,4.基金项目
国家自然科学基金重点项目(No.82430083) Key Program of National Natural Science Foundation of China(No.82430083) （No.82430083）
