Department of Surgery and Cancer, St Mary's Hospital, Imperial College London, QEQM Building, Praed Street, London, W2 1NY, UK.
Obes Surg. 2013 Dec;23(12):2113-20. doi: 10.1007/s11695-013-1093-x.
The incidences of both trauma and obesity are rapidly on the rise. Whilst dedicated trauma centres exist, these may not be equipped to manage obese and super-obese patients' unique medical and surgical demands. This review assesses the impact of trauma on the obese patient and the specialist considerations required in their management throughout pre-hospital, acute and inpatient phases of trauma care. Specific recommendations for the necessary infrastructure and equipment are made to ensure optimal care of the obese trauma patient. We also review evidence-based best practice in the assessment, diagnosis and treatment of this patient group. Only by addressing the unique needs of obese trauma patients with specialist education, equipment and infrastructure can optimal patient outcomes be assured.
创伤和肥胖的发生率都在迅速上升。虽然有专门的创伤中心，但这些中心可能没有能力满足肥胖和超级肥胖患者独特的医疗和手术需求。本综述评估了创伤对肥胖患者的影响，以及在创伤护理的院前、急性和住院阶段管理中需要考虑的特殊问题。提出了具体建议，以确保肥胖创伤患者得到最佳护理，包括必要的基础设施和设备。我们还回顾了评估、诊断和治疗这一患者群体的循证最佳实践。只有通过对肥胖创伤患者进行专业教育、提供设备和基础设施来满足其特殊需求，才能确保最佳的患者预后。
