Barton R G, Cerra F B
University of Utah School of Medicine, Salt Lake City 84132.
Postgrad Med. 1990 Oct;88(5):95-102. doi: 10.1080/00325481.1990.11716392.
If and when hemodynamic stability has been achieved in a trauma patient, a detailed physical examination and appropriate diagnostic studies are performed. The successful management of trauma demands that immediately life-threatening problems receive top priority and that patients be continuously reexamined and problems reprioritized as conditions change. Finally, it is imperative that appropriate surgical evaluation and treatment be undertaken as soon as possible. Trauma patients should not be allowed to languish or undergo extensive examination in a hospital lacking surgical or other specialists trained to treat the problems identified. Transfer to another facility, whether for specialized diagnostic tests or for evaluation and treatment by surgical specialists, should be accomplished as quickly as possible.
当创伤患者实现血流动力学稳定后，需进行详细的体格检查及适当的诊断性检查。成功处理创伤要求立即危及生命的问题得到最优先处理，并且随着病情变化，患者需持续接受重新检查，问题的优先级也需重新调整。最后，必须尽快进行适当的外科评估和治疗。不应让创伤患者在缺乏治疗所发现问题的外科或其他专科医生的医院里拖延或接受广泛检查。应尽快将患者转至另一机构，无论是进行专门的诊断测试还是由外科专家进行评估和治疗。
