Avaro J-P, Bonnet P-M
Service de chirurgie thoracique, hôpital d'Instruction des Armées A.-Laveran, Marseille cedex 13, France.
Rev Mal Respir. 2011 Feb;28(2):152-63. doi: 10.1016/j.rmr.2010.09.028. Epub 2011 Feb 22.
Blunt chest trauma is a frequent injury and it can be difficult to evaluate its seriousness. The risk of acute decompensation because of an occult thoracic lesion is a significant and justified cause for concern.
As is common in the case of trauma to the torso, few studies are available to guide the development of structured recommendations about the diagnosis and management of such injuries.
The authors review the anatomical and physiological knowledge relevant to this kind of injury. They propose a standardized management for the diagnosis and emergency management of blunt chest trauma.
The management of blunt chest trauma should include a very systematic first evaluation to avoid diagnostic pitfalls and decrease the risk of subsequent respiratory failure.
钝性胸部创伤是一种常见损伤，其严重程度难以评估。隐匿性胸部病变导致急性失代偿的风险是一个重大且合理的担忧原因。
与躯干创伤的常见情况一样，几乎没有研究可用于指导制定关于此类损伤诊断和管理的结构化建议。
作者回顾了与此类损伤相关的解剖学和生理学知识。他们提出了钝性胸部创伤诊断和急诊管理的标准化方法。
钝性胸部创伤的管理应包括非常系统的初始评估，以避免诊断失误并降低随后呼吸衰竭的风险。
