Department of Anesthesiology, Uniformed Services University of the Health Sciences, Bethesda, Maryland 20814, USA.
J Trauma Acute Care Surg. 2013 May;74(5):1292-7. doi: 10.1097/TA.0b013e31828c467d.
Thoracic injuries are common among civilian trauma and have a high associated mortality. The use of body armor and exposure to different mechanisms of injury in combat setting could lead to different injury patterns and incidences from those found in peacetime.
Thoracic trauma incidence rates and mortality risks were calculated from data extracted from the Joint Theatre Trauma Registry.
Among patients injured in military operations in Iraq and Afghanistan, 10.0% sustained thoracic injuries and had a mortality rate of 10.5%. Penetrating injuries were the most common mechanism of injury. The most common thoracic injury was pulmonary contusion. The highest mortality rate was in the subset of patients with thoracic vascular injuries or flail chest. The variables most strongly associated with mortality were number of units of blood transfused, admission base deficit, international normalization ratio, pH, Abbreviated Injury Scale scores for head and neck regions, and Injury Severity Score. Blunt injuries had the same mortality risk as penetrating injuries.
Combat-related thoracic trauma is common and associated with significant mortality in Iraq and Afghanistan.
胸部创伤在民用创伤中很常见，且相关死亡率较高。在作战环境中使用防弹衣和暴露于不同的致伤机制可能导致与和平时期不同的损伤模式和发生率。
从联合战区创伤登记处提取的数据计算了胸部创伤发生率和死亡率风险。
在伊拉克和阿富汗军事行动中受伤的患者中，10.0%有胸部损伤，死亡率为 10.5%。穿透性损伤是最常见的损伤机制。最常见的胸部损伤是肺挫伤。在伴有胸血管损伤或连枷胸的患者亚组中死亡率最高。与死亡率最相关的变量是输血量、入院基础不足、国际标准化比值、pH 值、头颈部损伤严重程度评分和创伤严重程度评分。钝性损伤与穿透性损伤的死亡率相同。
在伊拉克和阿富汗，与战斗相关的胸部创伤很常见，且与显著的死亡率相关。
