CAJ | 학술논문

随着现代急救技术和有效药物的运用，创伤患者即刻和早期死亡得到有效控制。然而，循证医学证据表明，创伤患者伤情转归和并发症的防治迄今仍是国际医学界面临的重大挑战。究其原因，创伤救治模式的经验性和普适性对于常规创伤伤情的诊治有重要价值。然而，受社会和机体内外环境因素的制约，创伤患者伤情与转归千差万别，无统一依据可循。因此，现今程序性创伤诊治模式在理念上尚有提升空间。精准医学概念的提出，为创伤诊治开辟了新的视角，是对创伤伤情认识水平在理论上的深化与拓展。在转化医学时代，将创伤基础研究成果有效指导伤员诊治，不仅对创伤精准与个体化诊治具有重要价值，也是在思维层面对创伤诊治从理论－实践－理论循环模式的提升，这对于提升创伤患者诊治水平，促进伤员康复和回归社会有重要临床意义。
수착현대급구기술화유효약물적운용，창상환자즉각화조기사망득도유효공제。연이，순증의학증거표명，창상환자상정전귀화병발증적방치흘금잉시국제의학계면림적중대도전。구기원인，창상구치모식적경험성화보괄성대우상규창상상정적진치유중요개치。연이，수사회화궤체내외배경인소적제약，창상환자상정여전귀천차만별，무통일의거가순。인차，현금정서성창상진치모식재이념상상유제승공간。정준의학개념적제출，위창상진치개벽료신적시각，시대창상상정인식수평재이론상적심화여탁전。재전화의학시대，장창상기출연구성과유효지도상원진치，불부대창상정준여개체화진치구유중요개치，야시재사유층면대창상진치종이론－실천－이론순배모식적제승，저대우제승창상환자진치수평，촉진상원강복화회귀사회유중요림상의의。
With the usage of advanced techniques in emergency treatment and efficient drugs, the level of trauma care has been improved obviously.The immediate and early mortality is declined in this decade.However, the emerging data from evidence-based medicine show that the outcome of traumatic condition and the treatment of traumatic complications constitute the main challenges in the international medical circles.Actually, although the experience and universality for the patterns of trauma treatment is valuable for the routine diagnoses and treatments of injured patients, the highly differentiated features of traumatic condition and outcome result in the missing of unified criteria owing to the limitation of social and environmental factors.Thus,we should remain to absorb new paradigm shifting in the diagnosis and treatment patterns of trauma.The concept of precision medicine open up a new visual angle for traumatology.It may further deepen and expand our knowledge of traumatic conditions and individualized new diagnostics and therapeutics in trauma.In the era of translational medicine,it is of great importance to absorb the new ideas of basic research for the precision and individualization in the diagnosis and treatment in traumatology.From the stratification of clinical thoughts, we urgently need to extend and improve our thoughts of diagnosis and treatment options concerning the circles of theory, practice and theory.It is undoubtedly valuable for the improvement of diagnosis and treatment of trauma as well as the rehabilitation and regression towards our society for trauma patients.