The Academic Department of Military Surgery & Trauma, Royal Centre for Defence Medicine, Birmingham Research Park, Vincent Drive, Edgbaston, Birmingham B15 2SQ, United Kingdom.
Surg Clin North Am. 2012 Aug;92(4):843-58, vii. doi: 10.1016/j.suc.2012.05.002.
Trauma resulting in hemorrhage from vascular disruption within the torso is a challenging scenario, with a propensity to be lethal in the first hour following trauma. The term noncompressible torso hemorrhage (NCTH) was only recently coined as part of contemporary studies describing the epidemiology of wounding during the wars in Afghanistan and Iraq. This article provides a contemporary review of NCTH, including a unifying definition to promote future study as well as a description of resuscitative and operative management strategies to be used in this setting, and sets a course for research to improve mortality following this vexing injury pattern.
创伤导致躯干血管破裂出血是一种具有挑战性的情况，创伤后最初一小时内有致命倾向。术语“非压迫性躯干出血（NCTH）”最近才被创造出来，作为描述阿富汗和伊拉克战争期间创伤流行病学的当代研究的一部分。本文对 NCTH 进行了当代综述，包括一个统一的定义，以促进未来的研究，以及对这种情况下复苏和手术管理策略的描述，并为研究这种棘手的损伤模式以提高死亡率指明了方向。
