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中华创伤杂志（英文版）
中华创伤杂志（英文版）

王正国

双月刊

1008-1275

cjtrauma@163.com

023-68757483

400042

重庆市渝中区大坪长江支路10号

中华创伤杂志（英文版）/Journal Chinese Journal of TraumatologyCSCDCSTPCD北大核心
查看更多>>中华医学会主办，中华医学会创伤学分会承办。本刊是全英文高级学术刊物，是中华医学会系列杂志之一。主要对外报道我国创伤学及相关学科的成果与进展，全面反映我国创伤医学的成就与水平，促进和指导我国创伤学研究的发展，提高临床救治水平；同时将国外相应领域进展及动态介绍给中国读者。它使中国的创伤医学走向世界，使外国读者了解中国，促使国内外创伤医学的交流与合作。
正式出版
收录年代

    From H1N1 to 2019-nCoV, what do we learn?

    Gui-E LiuYuan TianWen-Jun ZhaoShuang-Ming Song...
    187-189页
    查看更多>>摘要：The COVID-19 pandemic is still raging across the world.Everyday thousands of infected people lost their lives.What is worse,there is no specific medicine and we do not know when the end of the pandemic will come.The nearest global pandemic is the 1918 influenza,which caused about 50 million deaths and partly terminate the World War I.We believe that no matter the virus H1N1 for the 1918 influenza or 2019-nCoV for COVID-19,they are essentially the same and the final cause of death is sepsis.The definition and diagnostic/management criteria of sepsis have been modified several times but the mortality rate has not been improved until date.Over decades,researchers focus either on the immunosuppression or on the excessive inflammatory response following trauma or body exposure to harmful stimuli.But the immune response is very complex with various regulating factors involved in,such as neurotransmitter,endocrine hormone,etc.Sepsis is not a kind of disease,instead a misbalance of the body following infection,trauma or other harmful stimulation.Therefore we should re-think sepsis comprehensively with the concept of systemic biology,i.e.inflammationomics.
      原文链接:
    • NETL
    • NSTL
    • 万方数据

    The severe COVID-19: A sepsis induced by viral infection? And its immunomodulatory therapy

    Hong-Yuan Lin
    190-195页
    查看更多>>摘要：COVID-19 is known for its magical infectivity,fast transmission and high death toll based on the large number of infected people.From the perspective of the clinical manifestation,autopsy examination and pathophysiology,the essence of COVID-19 should be viewed as a sepsis induced by viral infection,and has the essential characteristics as sepsis induced by other pathogens.Therefore,in addition to etiological and supportive treatment,immunomodulatory therapy is also appropriate to severe COVID-19.Although there is still a lack of consensus on immunotherapy for sepsis so far,relatively rich experiences have been accumulated in the past decades,which will help us in the treatment of severe COVID-19.This article will elaborate immunotherapy of sepsis,though it may not be consistent.
      原文链接:
    • NETL
    • NSTL
    • 维普
    • 万方数据

    Guideline for diagnosis and treatment of spine trauma in the epidemic of COVID-19

    Yu-Long WangFeng-Zhao ZhuLian ZengDionne Telemacque...
    196-201页
    查看更多>>摘要：Outbreak of COVID-19 is ongoing all over the world.Spine trauma is one of the most common types of trauma and will probably be encountered during the fight against COVID-19 and resumption of work and production.Patients with unstable spine fractures or continuous deterioration of neurological function require emergency surgery.The COVID-19 epidemic has brought tremendous challenges to the diagnosis and treatment of such patients.To coordinate the diagnosis and treatment of infectious disease prevention and spine trauma so as to formulate a rigorous diagnosis and treatment plan and to reduce the disability and mortality of the disease,multidisciplinary collaboration is needed.This expert consensus is formulated in order to (1) prevent and control the epidemic,(2) diagnose and treat patients with spine trauma reasonably,and (3) reduce the risk of cross-infection between patients and medical personnel during the treatment.
      原文链接:
    • NETL
    • NSTL
    • 维普
    • 万方数据

    Perioperative management strategy of severe traumatic brain injury during the outbreak of COVID-19

    Peng ChenXue-Hua XiongYing ChenKe Wang...
    202-206页
    查看更多>>摘要：Since December 2019,a pneumonia caused by a new coronavirus,i.e.COVID-19 occurred in Wuhan,Hubei Province,China.Although the epidemic in China has been bought under control,the global COVID-19 situation is still grim.Severe traumatic brain injury (TBI),as one of critical conditions in the department of neurosurgery,requires an early and effective treatment,especially surgery.There were currently no reliable guidelines on how to perform perioperative protection in TBI patients with suspected or confirmed coronavirus infection.According to the corresponding treatment regulations and guidelines issued by the authorities,we summarized the management strategy of TBI patients in perioperative period during the COVID-19 outbreak based on medical and nursing practice,in order to provide a reference for clinicians.
      原文链接:
    • NETL
    • NSTL
    • 维普
    • 万方数据

    Critical adjustments and trauma surgery trends in adaptation to COVID-19 pandemic in Malaysia

    Henry Tan Chor LipTan Jih HueiYuzaidi MohamadRizal Imran Alwi...
    207-210页
    查看更多>>摘要：Malaysia has one of the highest total numbers of COVID-19 infections amongst the Southeast Asian nations,which led to the enforcements of the Malaysian "Movement Control Order" to prohibit disease transmission.The overwhelming increasing amount of infections has led to a major strain on major healthcare services.This leads to shortages in hospital beds,ventilators and critical personnel protective equipment.This article focuses on the critical adaptations from a general surgery department in Malaysia which is part of a Malaysian tertiary hospital that treats COVID-19 cases.The core highlights of these strategies enforced during this pandemic are: (1) surgery ward and clinic decongestions;(2) deferment of elective surgeries;(3) restructuring of medical personnel work force;(4) utilization of online appli cations for tele-communication;(5) operating room (OR) adjustments and patient screening;and (6) continuing medical education and updating practices in context to COVID-19.These adaptations were important for the continuation of emergency surgery services,preventing transmission of COVID-19 amongst healthcare workers and optimization of medical personnel work force in times of a global pandemic.In addition,an early analysis on the impact of COVID-19 pandemic and lockdown measures in Malaysia towards the reduction in total number of elective/emergent/trauma surgeries performed is described in this article.
      原文链接:
    • NETL
    • NSTL
    • 维普
    • 万方数据

    Surgical treatment of thoracolumbar fracture with incomplete lower limb paralysis in a patient with COVID-19

    Yu-Lin CaoYan-Jiu HanPeng ChenZe-Ming Liu...
    211-215页
    查看更多>>摘要：Since December 2019,COVID-19,an acute infectious disease,has gradually become a global threat.We report a case of thoracolumbar fractures (T12 and L1) and incomplete lower limb paralysis in a patient with COVID-19.After a series of conservative treatment which did not work at all,posterior open reduction and pedicle screw internal fixation of the thoracolumbar fracture were performed in Wuhan Union Hospital.Three weeks later,the patient could stand up and the pneumonia is almost cured.We successfully performed a surgery in a COVID-19 patient,and to our knowledge it is the first operation for a COVID-19 patient ever reported.
      原文链接:
    • NETL
    • NSTL
    • 维普
    • 万方数据

    Global road traffic injury statistics: Challenges, mechanisms and solutions

    Fang-Rong ChangHe-Lai HuangDavid C.SchwebelAlan H.S.Chan...
    216-218页
    查看更多>>摘要：High-quality data are the foundation to monitor the progress and evaluate the effects of road traffic injury prevention measures.Unfortunately,official road traffic injury statistics delivered by governments worldwide,are often believed somewhat unreliable and invalid.We summarized the reported problems concerning the road traffic injury statistics through systematically searching and reviewing the literature.The problems include absence of regular data,under-reporting,low specificity,distorted cause spectrum of road traffic injury,inconsistency,inaccessibility,and delay of data release.We also explored the mechanisms behind the problematic data and proposed the solutions to the addressed challenges for road traffic statistics.
      原文链接:
    • NETL
    • NSTL
    • 万方数据

    Epidemiologic study of traffic crash mortality among motorcycle users in Iran (2011-2017)

    Abdolrazagh BarzegarMasoud GhadipashaMehdi ForouzeshSamira Valiyari...
    219-223页
    查看更多>>摘要：Purpose: Motorcycle accident is a major cause of road traffic injuries and the motorcyclists are consid ered as vulnerable road users.The present study aimed to determine the epidemiological characteristics of fatal motorcycle crashes in Iran.Methods: In this cross-sectional study,a total of 28,356 motorcycle traffic fatalities registered in the Legal Medicine Organization of lran were analyzed during the period between March 2011 and March 2017.The examined variables included demographic characteristics,helmet use,crash mechanisms,crash location,position state,type of counterpart vehicle,cause of death and place of death.In the study,road traffic mortalities involving drivers and/or passenger of motorcycles were included.Cases or events registered without these conditions were excluded from the study.To analyse the data,SPSS statistics 25 and GraphPad Prism 8 softwares were used.Results: Of the 122,682 fatal traffic injury cases,28,356 (23.1％) were motorcycle users,of whom 95.3％ were male and 4.7％ were female.Most of the motorcycle fatalities belonged to the age group of 18-24 years (29.1％).Head trauma was the major cause of death (59.0％).Also,the overall proportion of safety helmet use among motorcycle crash victims was estimated at 37.4％.Most of the road traffic crash cases (46.8％) happened out of city and half of people (49.9％) died in hospital.About 77.4％ of the victims were motorcycle riders and 21.1％ were pillion passengers.The highest rate of mortality belonged to the selfemployed (38.4g) and then workers (21.8％) and students (10.2％).In addition,most fatalities occurred in people with low education (77.5％) and the least occurred in university graduates (5.5％).Among 31 provinces of Iran,Fars had the highest (9.3％) occurrence rate and Kohgiluyeh and Buyer-Ahmad had the lowest (0.5％).Most of the crash mechanisms were due to motorcycle-vehicle crashes (80.2％),followed by rollover (9.8％).Conclusion: Comprehensive public education and special rules are needed to reduce the rate of deaths in motorcycle crashes.
      原文链接:
    • NETL
    • NSTL
    • 万方数据

    Why do some trauma patients die while others survive? A matched-pair analysis based on data from Trauma Register DGU(R)

    Dan BielerThomas PaffrathAnnelie SchmidtMaximilian V(o)llmecke...
    224-232页
    查看更多>>摘要：Purpose: The mortality rate for severely injured patients with the injury severity score (ISS) ＞16 has decreased in Germany.There is robust evidence that mortality is influenced not only by the acute trauma itself but also by physical health,age and sex.The aim of this study was to identify other possible influences on the mortality of severely injured patients.Methods: In a matched-pair analysis of data from Trauma Register DGU(R),non-surviving patients from Germany between 2009 and 2014 with an ISS_＞16 were compared with surviving matching partners.Matching was performed on the basis of age,sex,physical health,injury pattern,trauma mechanism,conscious state at the scene of the accident based on the Glasgow coma scale,and the presence of shock on arrival at the emergency room.Results: We matched two homogeneous groups,each of which consisted of 657 patients (535 male,average age 37 years).There was no significant difference in the vital parameters at the scene of the accident,the length of the pre-hospital phase,the type of transport (ground or air),pre-hospital fluid management and amounts,ISS,initial care level,the length of the emergency room stay,the care received at night or from on-call personnel during the weekend,the use of abdominal sonographic imaging,the type of X-ray imaging used,and the percentage of patients who developed sepsis.We found a significant difference in the new injury severity score,the frequency of multi-organ failure,hemoglobine at admission,base excess and international normalized ratio in the emergency room,the type of accident (fall or road traffic accident),the pre-hospital intubation rate,reanimation,in-hospital fluid management,the frequency of transfusion,tomography (whole-body computed tomography),and the necessity of emergency intervention.Conclusion: Previously postulated factors such as the level of care and the length of the emergency room stay did not appear to have a significant influence in this study.Further studies should be conducted to analyse the identified factors with a view to optimising the treatment of severely injured patients.Our study shows that there are significant factors that can predict or influence the mortality of severely injured patients.
      原文链接:
    • NETL
    • NSTL
    • 万方数据

    Clinical effect of manual reduction of humeroradial joint in the treatment of type Ⅰ-Ⅲ fresh Monteggia fracture in children

    Yin-Qiang CaoJia-Zhong DengYuan ZhangXiao-Wei Yuan...
    233-237页
    查看更多>>摘要：Purpose: To evaluate the efficacy of closed reduction on the humeroradial joint in the treatment of Bado type Ⅰ,Ⅱ and Ⅲ fresh Monteggia fractures in children and investigate the effect of clinical factors,including Bado classification,age and time of treatment on the success rate of closed reduction.Methods: We retrospectively studied the data of children ＜10 years old with fresh Monteggia fractures (injury within two weeks) treated by manual reduction with plaster immobilization from January 2014 to April 2019.All patients were followed up in the outpatient department every two weeks for 4-6 weeks until plaster removal and then 3,6 and 12 months.Online or telephone interview was provided for some inconvenient patients after 6 months.Mackay criteria were used to evaluate the clinical effect.Radiographic data were collected and reviewed to assess the reduction of the humeroradial joint.Function of the elbow joint and forearm was evaluated and risk factors related to the failure of reduction were assessed.The successful manual reduction was analyzed from three aspects,respectively Bado fracture type (Ⅰ,Ⅱ,Ⅲ),patient age (＜3 year,3-6 years,＞6 years) and time interval from injury to treatment (group A,＜1 day;group B,1-3 days;group C,＞3 days).Results: Altogether 88 patients were employed in this study,including 58 males (65.9％) and 30 females (34.1％) aged from 1 to 10 years.There were 29 cases (33.0％) of Bado type Ⅰ Monteggia fractures,16 (18.2％) type Ⅱ and 43 (48.7％) type Ⅲ.Successful manual reduction was achieved in 79 children (89.8％) at the last follow-up.The failed 9 patients received open surgery.Mackay criteria showed 100％ goodexcellent rate for all the patients.The success rate of manual reduction was 89.7％,87.5％ and 90.7％ in Bado type Ⅰ,Ⅱ and Ⅲ cases,respectively,revealing no significant differences among different Bado types (x2 =0.131,p =0.937).Successful closed reduction was achieved in 13 toddlers (13/13,100％),38 preschool children (28/42,90.5％) and 28 school-age children (28/33,84.8％),suggesting no significant difference either (x2 =2.375,p =0.305).However time interval from injury to treatment showed that patients treated within 3 days had a much higher rate of successful manual reduction: 67 cases (67/71,94.4％) in group A,10 cases (10/11,90.9％) in group B,and 2 cases (2/6,33.3％) in group C (x2 =22.464,p ＜ 0.001).Fisher's test further showed significant differences between groups A and C (p =0.001) and groups B and C (p =0.028).Conclusion: Closed reduction is a safe and effective method for treating fresh Monteggia fractures in children.The reduction should be conducted as soon as possible once the diagnosis has been made.
      原文链接:
    • NETL
    • NSTL
    • 万方数据