[Expert consensus for the management strategies of patients with acute cervical spinal cord injury combined with traumatic brain injury in adults (2026 edition)].

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引用次数: 0

Abstract

Acute cervical spinal cord injury (CSCI) combined with traumatic brain injury (TBI) represents a severe form of polytrauma associated with high mortality and disability. The complex clinical presentation of acute CSCI with TBI poses numerous challenges throughout the diagnostic and therapeutic process. To standardize clinical diagnostic and therapeutic workflows, the Spine Committee, Sports Medicine Branch of the Chinese Medical Doctor Association, in collaboration with a multidisciplinary team of experts, has developed this consensus based on evidence-based medicine and the modified Delphi method. By standardizing diagnostic and treatment procedures, clarifying surgical timing and sequence, optimizing anesthesia and hemodynamic management, and strengthening prevention and treatment of complications, this consensus aims to improve patient survival, promote functional recovery, and reduce complications. The ultimate goals are to enhance overall quality of care and patients' quality of life, while providing theoretical and practical foundations for future research and innovation in this field.

[成人急性颈脊髓损伤合并外伤性脑损伤患者处理策略专家共识(2026版)]。
急性颈脊髓损伤(CSCI)合并创伤性脑损伤(TBI)是一种严重的多发损伤,具有高死亡率和致残率。急性CSCI合并TBI的复杂临床表现在整个诊断和治疗过程中提出了许多挑战。为了规范临床诊断和治疗工作流程,中华医师协会运动医学分会脊柱委员会与多学科专家团队合作,基于循证医学和改进的德尔菲法制定了这一共识。通过规范诊疗程序,明确手术时机和顺序,优化麻醉和血流动力学管理,加强并发症防治,提高患者生存率,促进功能恢复,减少并发症。最终目标是提高整体护理质量和患者的生活质量,同时为该领域未来的研究和创新提供理论和实践基础。
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来源期刊
CiteScore
0.80
自引率
0.00%
发文量
20861
期刊介绍: Chinese Journal of Surgery|Chin J Surg (monthly) is a high-level medical science and technology journal approved by the General Administration of Press and Publication of the People's Republic of China, under the supervision of the China Association for Science and Technology, and organised by the Chinese Medical Association for domestic and international public circulation. It was founded in January 1951, and is published on the basis of the Journal of Chinese Surgery. The Journal is aimed at senior and intermediate surgeons and related researchers, mainly reporting the leading scientific research results and clinical experience in the field of surgery, as well as the basic theoretical research that has a guiding effect on the clinical work of surgery. Chinese Journal of Surgery|Chin J Surg is committed to reflecting the major research progress in the field of surgery in China and promoting academic exchanges at home and abroad. The main columns include thesis, meta-analysis, review, expert forum, synthesis, case report, diagnosis and treatment experience, technical exchange, clinical case discussion, academic controversy, and special lectures, etc. The journal has been accepted by the National Academy of Medicine of the United States. The journal has been included in many famous databases at home and abroad, such as the Biomedical Analysis and Online Retrieval System (MEDLINE) of the U.S. National Library of Medicine.
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