钝性胸部创伤的诊断难题与当前争议

Diagnostic dilemmas and current controversies in blunt chest trauma.

作者信息

McGillicuddy Daniel, Rosen Peter

机构信息

Department of Emergency Medicine, Beth Israel Deaconess Medical Center, One Deaconess Road, W/CC-2, Boston, MA 02215, USA.

出版信息

Emerg Med Clin North Am. 2007 Aug;25(3):695-711, viii-ix. doi: 10.1016/j.emc.2007.06.004.

DOI:10.1016/j.emc.2007.06.004

PMID:17826213

Abstract

Blunt chest injuries are common encounters in the emergency department. Instead of a comprehensive review of the management of all chest injuries, this review focuses on injuries that can be difficult to diagnose and manage, including blunt aortic injury, cardiac contusion, and blunt diaphragmatic injury. This review also discusses some recent controversies in the literature regarding the use of prophylactic antibiotics for tube thoracostomy and the optimal management of occult pneumothorax. The article concludes with a discussion of the management of rib fractures in the elderly.

摘要

钝性胸部损伤是急诊科常见的病症。本综述并非全面回顾所有胸部损伤的处理方法，而是聚焦于那些诊断和处理可能存在困难的损伤，包括钝性主动脉损伤、心脏挫伤和钝性膈肌损伤。本综述还讨论了文献中近期关于胸腔闭式引流预防性使用抗生素以及隐匿性气胸最佳处理方法的一些争议。文章最后讨论了老年人肋骨骨折的处理。