Bölükbas S, Ghezel-Ahmadi D, Kwozalla A-K, Schirren J
Klinik für Thoraxchirurgie, Dr. Horst Schmidt Klinik, Wiesbaden, Deutschland.
Chirurg. 2011 Sep;82(9):843-49; quiz 850. doi: 10.1007/s00104-010-2053-9.
Most patients with chest trauma can be successfully treated with tube thoracostomy and appropriate pain medication. Initial care of these patients is usually straightforward and performed by an emergency doctor or an emergency room surgeon, e.g. a general surgeon. If more extensive therapy of these polytraumatized patients appears to be required, tertiary care should be done in specialized centers or clinics with network structures. An appropriate structured network of surgical centers guarantees sufficient and efficient care of patients with severe chest trauma. In a best-case scenario the specialist disciplines work in a rendezvous system with close cooperation. Early communication with a thoracic surgeon is essential to minimize mortality and long-term morbidity. Improvement in understanding the underlying molecular physiological mechanisms involved in the various traumatic pathological processes and the advancement of diagnostic techniques, minimally invasive approaches and pharmacologic therapy, will contribute to decreasing morbidity of these critically injured patients.
大多数胸部创伤患者可通过胸腔闭式引流术和适当的止痛药物成功治疗。这些患者的初始治疗通常较为简单，由急诊医生或急诊室外科医生（如普通外科医生）进行。如果这些多发伤患者似乎需要更广泛的治疗，应在具有网络结构的专业中心或诊所进行三级护理。适当的结构化手术中心网络可确保对严重胸部创伤患者进行充分且高效的护理。在最佳情况下，各专科会在密切合作的会诊系统中开展工作。尽早与胸外科医生沟通对于降低死亡率和长期发病率至关重要。对各种创伤病理过程中潜在分子生理机制理解的改善以及诊断技术、微创方法和药物治疗的进步，将有助于降低这些重伤患者的发病率。
