中国胸心血管外科临床杂志2023年1月第30卷第1期。1·指南与规范·肋骨胸骨肺部创伤诊治专家共识（2022版)▣中国医师协会胸外科医师分会创伤外科学组，中国研究型医院学会胸外科学专业委员会，中国医药教育协会胸外科专业委员会，浙江省医学会创伤医学分会胸部创伤学组，浙江省医学会胸外科学分会，浙江省医师协会胸外科医师分会【摘要】为进一步改善我国肋骨胸骨以及肺部创伤的治疗水平，同时为患者提供全面、安全、科学，规范的治疗模式，我们召集国内创伤领域杰出的胸外科专家开会论证并广泛征求意见，并按照循证医学的原则，以当前已发表的中、英文最佳证据为依据，制定本共识。本共识旨在最大程度解决肺部创伤、肋骨胸骨创伤治疗中可能出现的问题，为胸外科创伤救治提供科学、标准的临床解决方案。【关键词】胸骨：助骨：肺部创伤：专家共识Expert consensus on diagnosis and treatment ofrib,sternum,and lung trauma(version2022)The Trauma Surgery Group of Thoracic Surgeons Branch of Chinese Medical Association,Thoracic SurgeryProfessional Committee of Chinese Research Hospital Association,Thoracic Surgery Professional Committeeof Chinese Medical Education Association,Thoracic Trauma Group of Trauma Medicine Branch of ZhejiangMedical Association,Thoracic Surgery Branch of Zhejiang Medical Association,Thoracic Surgeons Branch ofZhejiang Medical Association[Abstract]In order to further improve the treatmentlevel of rib,sterum,and lung trauma in China,and toprovide patients with a comprehensive,safe,scientific,and standardized treatment model,we convened a meeting ofoutstanding thoracic surgery experts in the field oftrauma in China to demonstrate and solicit opinions widely,and inaccordance with the principle ofevidence-based medicine,based on the best published Chinese and English evidence,finally formulated this consensus.This consensus aims to solve the possible problems in the treatment oflung,rib,andsternum trauma to the greatest extent,and provide scientific and standard clinical solutions for the treatment of thoracicsurgery tra山ma.[Key words Sternum;rib;lung trauma;expert consensusFoundation items:Zhejiang Provincial Lung Tumor Diagnosis and Treatment Technology Research Center(JBZX-202007);Zhejiang Province Major Science and Technology Project(2020C03058);Zhejiang Key Discipline of TraditionalChinese Medicine(Integrated Chinese and Western Medicine)(2017-XK-A33)常见胸部创伤包括肺损伤、肋骨骨折、胸骨骨争议等原因，患者往往没有得到有效救治。为此，折等，其中肋骨骨折约占2/3四，尤其是在中国，每在《肋骨胸骨创伤诊治：浙江省胸外科专家共识年肋骨骨折患者例数超过胸部肿瘤患者。常见的(2021版)》基础上，通过检索中国知网、维普网、肺损伤包括外伤导致的气管支气管损伤、肺挫伤、万方等中文数据库以及Web of Science、PubMed等肺撕裂伤等。胸骨骨折发生率较低，但易导致严英文数据库关于包含肺损伤、肋骨骨折、胸骨骨折重并发症包括气胸、血胸、心包积液等，若不及时在内的胸部创伤相关文献，从中摘录证据等级高的救治，死亡风险较高。由于缺乏重视，临床医生对研究，结合现有临床经验制定本共识。胸部创伤的治疗理念停滞不前以及治疗方案上存本共识推荐的级别为：lA级：基于高水平证据（严谨的Meta分析或D0:10.7507/1007-4848.202211023RCT结果)，专家组有统一认识：基金项目：浙江省肺部肿指诊治技术研究中心(BZX-202007):1B级：基于高水平证据（严谨的Meta分析或浙江省重大科技专项计利项目(2020C03058)；浙江省中医药(中西医结合)重点学科(2017-XK-433)RCT结果)，专家组有小争议；http://www.tcsurg,org寵
