切换至 "中华医学电子期刊资源库"

中华损伤与修复杂志(电子版) ›› 2022, Vol. 17 ›› Issue (01) : 7 -10. doi: 10.3877/cma.j.issn.1673-9450.2022.01.002

专家述评

冰雪运动冻伤诊疗规范及流程
李东杰1, 申传安1,()   
  1. 1. 100048 北京,解放军总医院第四医学中心烧伤整形医学部
  • 收稿日期:2021-12-22 出版日期:2022-02-01
  • 通信作者: 申传安
  • 基金资助:
    国家重点研发计划"科技冬奥"专项(2019Y FF0302402)

Standards and procedures for the diagnosis and treatment of frostbite in winter sports

Dongjie Li1, Chuanan Shen1,()   

  1. 1. Department of Burns and Plastic Surgery, Fourth Medical Center of Chinese PLA General Hospital, Beijing 100048, China
  • Received:2021-12-22 Published:2022-02-01
  • Corresponding author: Chuanan Shen
引用本文:

李东杰, 申传安. 冰雪运动冻伤诊疗规范及流程[J]. 中华损伤与修复杂志(电子版), 2022, 17(01): 7-10.

Dongjie Li, Chuanan Shen. Standards and procedures for the diagnosis and treatment of frostbite in winter sports[J]. Chinese Journal of Injury Repair and Wound Healing(Electronic Edition), 2022, 17(01): 7-10.

北京2022年冬奥会召开时正值北京-张家口地区寒冷季节,极寒天气时有发生。缺乏冻伤防护常识或遇到紧急情况时,很容易造成冻伤。冻伤防控是冬奥会具有特色的准备工作之一,如何结合冰雪运动实际需求,使冻伤救治更迅速、便捷、高效,是我们迎接冬奥盛会应尽的责任。本文结合冰雪运动时不同冻伤伤情特点及诊断、救治要点,总结了相关诊疗规范及救治流程。

The Beijing 2022 Winter Olympics will be held in the Beijing-Zhangjiakou area during the cold season, and extremely cold weather may occur from time to time. Lack of common sense of frostbite protection or in emergency situations can easily cause frostbite. Frostbite prevention and control is one of the special preparations for the Winter Olympics. How to combine the actual needs of winter sports to make frostbite treatment more rapid, convenient and efficient is our responsibility to meet the Winter Olympics. Based on the characteristics of different frostbite injuries and the key points of diagnosis and treatment during winter sports, this article summarizes the relevant diagnosis and treatment specifications and treatment procedures.

[1]
魏亚茹,徐金庆,杨淑媛. 我国冰雪项目运动损伤流行病学调查与致因研究[J]. 首都师范大学学报(自然科学版), 2015, 36(6): 65-68, 78.
[2]
刘军,巨雷. 滑雪运动损伤的致伤因素与预防措施[J]. 冰雪运动2012, 34(1): 34-37.
[3]
Tan Y, Gan Q, Knuepfer MM. Central alpha-adrenergic receptors and corticotropin releasing factor mediate hemodynamic response to acute cold stress[J]. Brain Res, 2003, 968(1): 122-129.
[4]
Young AJ, Castellani JW. Exertional fatigue and cold exposure: mechanisms of hiker′s hypothermia[J]. Appl Physiol Nutr Metab, 2007, 32(4): 793-798.
[5]
Herrera B, Desco MM, Eisenberg G, et al. Role of elastic fibers in cooling-induced relaxation[J]. Cryobiology, 2002, 44(1): 54-61.
[6]
孙林利,刘文军,桂婧娥,等. 2019版《荒野医学协会冻伤预防和治疗实践指南》解读[J]. 中华烧伤杂志2020, 36(7): 631-635.
[7]
Anttonen H, Virokannas H. Assessment of cold stress in out door work[J]. Arctic Med Res, 1994, 53(1): 40-48.
[8]
Golant A, Nord RM, Paksima N, et al. Cold exposure injuries to the extremities[J]. J Am Acad Orthop Surg, 2008, 16(12): 704-715.
[9]
Handford C, Thomas O, Imray CHE. Frostbite[J]. Emerg Med Clin North Am, 2017, 35(2): 281-299.
[10]
Fudge J. Preventing and Managing Hypothermia and Frostbite Injury[J]. Sports Health, 2016, 8(2): 133-139.
[11]
Bhatnagar A, Sarker BB, Sawroop K, et al. Diagnosis, characterisation and evaluation oftreatment response of frostbite using pertechnetate scintigraphy:a prospective study[J]. Eur J Nucl Med Mol Imaging, 2002, 29(2): 170-175.
[12]
Cauchy E, Chetaille E, Marchand V, et al. Retrospectivestudy of 70 cases of severe frostbite lesions: a proposednew classification scheme[J]. Wilderness Environ Med, 2001, 12(4): 248-255.
[13]
陆再英,钟南山. 内科学[M]. 7版. 北京:人民卫生出版社,2008: 808-810.
[14]
Jud P, Hafner F, Brodmann M. Frostbite of the hands after paragliding: a chilling experience[J]. Lancet, 2019, 394(10216): 2282.
[15]
Mills WJ, Whaley R. Frostbite: experience with rapidrewarming and ultrasonic therapy. 1960-1[J]. Wilderness Environ Med, 1998, 9(4): 226-247.
[16]
王淑君,申传安. 烧伤冻伤糖尿病足病护理500问[M]. 北京:科学技术文献出版社,2018: 170.
[17]
van der Ploeg GJ, Goslings JC, Walpoth BH, et al. Accidental hypothermia: rewarming treatments, complications and outcomes from one university medical centre[J]. Resuscitation, 2010, 81(11): 1550-1555.
[18]
Espinosa GA. Management of frostbite injuries[J]. J Natl Med Assoc, 1981, 73(12): 1125-1131.
[19]
Daum PS, Bowers WD Jr, Tejada J, et al. An evaluation of the ability of the peripheralvasodilatorbuflomedil to improve vascular patency afteracute frostbite[J]. Cryobiology, 1989, 26(1): 85-92.
[20]
Hickey S, Whitson A, Jones L, et al. Guidelines for Thrombolytic Therapy for Frostbite[J]. J Burn Care Res, 2020, 41(1): 176-183.
[21]
McIntosh SE, Opacic M, Freer L, et al. Wilderness medical society practice guidelines for the prevention and treatment of frostbite: 2014 update[J]. Wilderness Environ Med, 2014, 25(4 Suppl): S43-54.
[22]
Manganaro MS, Millet JD, Brown RK, et al. The utility of bone scintigraphy with SPECT/CT in the evaluation and management of frostbite injuries[J]. Br J Radiol, 2019, 92(1094): 20180545.
[23]
von Heimburg D, Noah EM, Sieckmann UP, et al. Hyperbaric oxygen treatment in deep frostbite of both handsin a boy[J]. Burns, 2001, 27(4): 404-408.
[24]
Heil K, Thomas R, Robertson G, et al. Freezing and non-freezing cold weather injuries: a systematic review[J]. Br Med Bull, 2016, 117(1): 79-93.
[1] 杨水华, 何桂丹, 覃桂灿, 梁蒙凤, 罗艳合, 李雪芹, 唐娟松. 胎儿孤立性完全型肺静脉异位引流的超声心动图特征及高分辨率血流联合时间-空间相关成像的应用[J]. 中华医学超声杂志(电子版), 2023, 20(10): 1061-1067.
[2] 谭巧, 苏小涵, 侯令密, 黎君彦, 邓世山. 乳腺髓样癌的诊治进展[J]. 中华乳腺病杂志(电子版), 2023, 17(06): 366-368.
[3] 李培杰, 乔永杰, 张浩强, 曾健康, 谭飞, 李嘉欢, 王静, 周胜虎. 细菌培养阴性的假体周围感染诊治的最新进展[J]. 中华关节外科杂志(电子版), 2023, 17(06): 827-833.
[4] 彭旭, 邵永孚, 李铎, 邹瑞, 邢贞明. 结肠肝曲癌的诊断和外科治疗[J]. 中华普外科手术学杂志(电子版), 2024, 18(01): 108-110.
[5] 李智铭, 郭晨明, 庄晓晨, 候雪琴, 高军喜. 早期乳腺癌超声造影定性及定量指标的对比研究[J]. 中华普外科手术学杂志(电子版), 2023, 17(06): 639-643.
[6] 杨雪, 张伟, 尚培中, 宋创业, 尚丹丹, 张蔚. 胆囊十二指肠瘘结石经瘘口排出后自愈一例报道[J]. 中华普外科手术学杂志(电子版), 2023, 17(06): 707-708.
[7] 李晓阳, 刘柏隆, 周祥福. 大数据及人工智能对女性盆底功能障碍性疾病的诊断及风险预测[J]. 中华腔镜泌尿外科杂志(电子版), 2023, 17(06): 549-552.
[8] 姜明, 罗锐, 龙成超. 闭孔疝的诊断与治疗:10年73例患者诊疗经验总结[J]. 中华疝和腹壁外科杂志(电子版), 2023, 17(06): 706-710.
[9] 许丁伟, 马江云, 李新成, 黄洁. Alagille综合征疑诊为先天性胆道闭锁一例并文献复习[J]. 中华肝脏外科手术学电子杂志, 2023, 12(06): 681-687.
[10] 蓝冰, 王怀明, 王辉, 马波. 局部晚期结肠癌膀胱浸润的研究进展[J]. 中华结直肠疾病电子杂志, 2023, 12(06): 505-511.
[11] 杨红杰, 张智春, 孙轶. 直肠癌淋巴结转移诊断研究进展[J]. 中华结直肠疾病电子杂志, 2023, 12(06): 512-518.
[12] 赵立力, 王魁向, 张小冲, 李志远. 血沉与C-反应蛋白比值在假体周围感染中的诊断价值分析[J]. 中华老年骨科与康复电子杂志, 2023, 09(06): 351-355.
[13] 袁媛, 赵良平, 刘智慧, 张丽萍, 谭丽梅, 閤梦琴. 子宫内膜癌组织中miR-25-3p、PTEN的表达及与病理参数的关系[J]. 中华临床医师杂志(电子版), 2023, 17(9): 1016-1020.
[14] 李田, 徐洪, 刘和亮. 尘肺病的相关研究进展[J]. 中华临床医师杂志(电子版), 2023, 17(08): 900-905.
[15] 周婷, 孙培培, 张二明, 安欣华, 向平超. 北京市石景山区40岁及以上居民慢性阻塞性肺疾病诊断现状调查[J]. 中华临床医师杂志(电子版), 2023, 17(07): 790-797.
阅读次数
全文


摘要