[高处坠落所致多发伤。损伤模式及重症医学相关问题]

[Polytrauma following a fall from a great height. The injury pattern and the intensive medicine aspects].

作者信息

Klockgether-Radke A, Sydow M, Zielmann S, Burchardi H, Kettler D

机构信息

Zentrum Anästhesiologie, Rettungs- und Intensivmedizin, George-August-Universität Göttingen.

出版信息

Anasthesiol Intensivmed Notfallmed Schmerzther. 1992 Feb;27(1):37-41. doi: 10.1055/s-2007-1000249.

DOI:10.1055/s-2007-1000249

PMID:1504189

Abstract

We report on 10 polytraumatised patients who were treated in an ICU after a free-fall injury. The injury pattern of these patients proved to be relatively uniform. Brain oedema occurred in many victims. Remarkable was the fact that 8 out of 10 patients developed a pneumothorax, but only three of them had rib fractures on the same side. All patients suffered from fractures of the extremities with the lower extremities being affected more often. Abdominal injuries were not of importance.

摘要

我们报告了10例因高空坠落伤在重症监护病房接受治疗的多发伤患者。这些患者的损伤模式相对一致。许多受害者出现了脑水肿。值得注意的是，10名患者中有8例发生了气胸，但其中只有3例在同一侧有肋骨骨折。所有患者均有四肢骨折，下肢受累更为常见。腹部损伤并不严重。