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全面认识血管损伤,推动学科融合发展
刘建民*,杨鹏飞,李翯
0
(海军军医大学(第二军医大学)长海医院脑血管病中心, 上海 200433
*通信作者)
摘要:
血管损伤是一个较为宽泛的概念,包含了不同部位与器官、不同病理类型的创伤性与非创伤性、急性与慢性的血管结构损伤或功能障碍。本文以血管损伤概念的提出作为出发点,论述了既往孤立性探讨创伤与非创伤性血管病变,以及分学科对血管损伤性疾病开展研究和诊疗工作的局限性,强调了创伤性与非创伤性血管损伤联合诊疗、多学科合作、基础与临床结合的重要性。在此基础上,结合最新技术与设备带来的便利,进一步提出了“平战结合,以平练战”诊疗模式的构想。这对于有效提高平时血管损伤的诊疗效率、显著提升战时血管损伤的救治水平有积极意义。
关键词:  血管损伤  创伤性血管病变  非创伤性血管病变  泛血管疾病  多学科合作
DOI:10.16781/j.0258-879x.2021.02.0122
投稿时间:2020-12-09修订日期:2021-01-12
基金项目:上海市临床重点专科项目(shslczdzk06101).
To fully understand vascular impairment from the perspective of discipline integration
LIU Jian-min*,YANG Peng-fei,LI He
(Stroke Center, Changhai Hospital, Naval Medical University (Second Military Medical University), Shanghai 200433, China
*Corresponding author)
Abstract:
Vascular impairment is a rather broad conception; it includes the vascular structural injuries or dysfunctions of different pathological types; and it may involve different positions or organs, may be traumatic or non-traumatic, and may be acute or chronic. Starting from the conception of vascular impairment, this paper discusses the limitations of previous studies, which merely described isolated cases of traumatic and non-traumatic vascular impairments and the research and diagnosis of vascular impairments based on different disciplines. However, we emphasized the importance of combining traumatic and non-traumatic impairments, multidisciplinary collaboration, and basic and clinical medicine. Taking the advantage of novel technologies and equipment, we designed a diagnosis and treatment plan of "combining peacetime and wartime, training in peacetime for wartime", which can not only effectively improve the peacetime efficiency for clinical management of vascular impairment, but also significantly promote the wartime treatment for vascular impairment.
Key words:  vascular impairment  traumatic vascular disease  non-traumatic vascular disease  pan-vascular diseases  multidisciplinary collaboration