%0 Journal Article
%T Chinese Guideline for the Diagnosis and Treatment of Head, Thoracic, Abdominal, and Pelvic Polytrauma (2026 Edition) 
%A Zhang, Jian-Ning
%A Jia, Wang
%A Yu, Yan-Bing
%A Liu, Jia-Yu
%A Xue, Zhi-Qiang
%A Qiao, Zhi
%A Liang, Xiang-Dang
%A Lou, Xin
%A Mi, Wei-Dong
%A Li, Tan-Shi
%A Zhou, Fei-Hu
%A Cheng, Gang
%A Sun, Jun-Zhao
%A Lv, Wen-Ying
%A Kang, De-Zhi
%A Wang, Ning
%A Jiang, Rong-Cai
%A Wei, Jun-Ji
%A Gao, Guo-Yi
%A Fei, Zhou
%A Feng, Hua
%A Zhu, Hai-Yan
%A Cao, Jiang-Bei
%A Chen, Ke-Zhong
%A Liu, Wei-Nan
%A Liu, Zhi-Yong
%A Gao, Yuan
%A Yan, Hua
%A Wang, Yong-Xin
%A Liu, Jin-Fang
%A Wen, Liang
%A Neurosurgery Specialist Alliance of the Joint Logistics Support Force, Neurotrauma Society of the China,
International Exchange, Promotive Association for Medical, Health Care, Neurotrauma Group of the Chinese
Congress of Neurological Surgeons, and Craniocerebral Trauma Panel of the Neurosurgery Society of the Beijing
Medical Association, 
%J Neurosurgical Subspecialties
%@ 3067-6150
%D 2026
%V 
%N 000
%P 
%R 10.14218/NSSS.2026.00016
%U https://www.xiahepublishing.com/3067-6150/NSSS-2026-00016
%X Head, thoracic, abdominal, and pelvic polytrauma is clinically complex and requires coordinated multidisciplinary care, creating an urgent need for standardized guidance. This guideline aims to provide an evidence-based foundation and clinical pathway for the diagnosis, assessment, damage control, surgical timing, and acute-phase management of patients with head, thoracic, abdominal, and pelvic polytrauma. Led by the Senior Department of Neurosurgery, Chinese PLA General Hospital, a multidisciplinary working group comprising experts in thoracic surgery, general surgery, orthopedics, critical care medicine, anesthesiology, radiology, emergency medicine, nursing, and related disciplines developed the guideline through systematic review of the relevant literature, consideration of the characteristics of trauma care in China’s military and civilian medical systems, and two rounds of expert voting and consensus decision-making. The guideline addresses 22 key clinical questions covering imaging assessment, damage-control resuscitation, prioritization of craniocerebral and torso injury management, anticoagulation and hemostatic management, intensive care, and early rehabilitation. A total of 22 recommendations were formulated by integrating evidence quality, clinical feasibility, and implementability, together with corresponding implementation points and quality-control indicators. The guideline emphasizes stabilization of vital signs, damage-control principles, multidisciplinary collaboration, standardized clinical pathways, and a tiered trauma-care system. Implementation of these recommendations may improve the consistency and timeliness of multidisciplinary care and provide a framework for reducing early mortality while preserving neurological and functional outcomes.