Lechler P, Heeger K, Bartsch D, Debus F, Ruchholtz S, Frink M
Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Gießen und Marburg, Standort Marburg, Baldingerstraße, 35043, Marburg, Deutschland.
Unfallchirurg. 2014 Mar;117(3):249-59; quiz 260-1. doi: 10.1007/s00113-014-2556-9.
Abdominal trauma represents the leading cause of haemorrhagic shock in the severely injured patient and is associated with high mortality and morbidity rates. The trauma surgeon has a central role in the multidisciplinary team addressing the specific diagnostic and therapeutic needs of patients with abdominal trauma. The management of blunt and penetrating abdominal trauma has undergone substantial changes in recent decades. Major innovations have been established in the field of diagnostic imaging and of nonoperative interventions such as angioembolization and endoscopic procedures. Another key development is the introduction of the damage control concept for the care of patients with abdominal trauma. The present manuscript comprises a review of the current management of abdominal trauma with an emphasis on diagnostic and therapeutic innovations.
腹部创伤是重伤患者出血性休克的主要原因，且与高死亡率和发病率相关。创伤外科医生在多学科团队中起着核心作用，以满足腹部创伤患者的特定诊断和治疗需求。近几十年来，钝性和穿透性腹部创伤的管理发生了重大变化。在诊断成像以及血管栓塞和内镜手术等非手术干预领域已经取得了重大创新。另一个关键进展是引入了用于腹部创伤患者护理的损伤控制概念。本手稿对腹部创伤的当前管理进行了综述，重点是诊断和治疗方面的创新。
