Velmahos George C, Butt Muhammad U
Division of Trauma, Emergency Surgery and Surgical Critical Care, Harvard Medical School, Massachusetts General Hospital, 165 Cambridge Street, Suite 810, Boston, MA, 02114, USA.
Division of Trauma, Emergency Surgery and Surgical Critical Care, Harvard Medical School, Massachusetts General Hospital, MA, Boston, USA.
Eur J Trauma Emerg Surg. 2008 Aug;34(4):327. doi: 10.1007/s00068-008-8099-4. Epub 2008 Jul 25.
Cardiac and pulmonary injuries present major challenges in diagnosis and treatment. Distinct differences between penetrating and blunt trauma of these organs exist. Outcomes for severe injuries are still grave. Organized trauma systems can provide optimal care by minimizing prehospital time, allowing easy access to imaging modalities, and offering state-of-the-art treatment strategies. A multidisciplinary approach, including surgeons, intensivists, and others, is absolutely necessary.
心脏和肺部损伤在诊断和治疗方面面临重大挑战。这些器官的穿透伤和钝性伤存在明显差异。严重损伤的预后仍然很严峻。有组织的创伤系统可以通过尽量减少院前时间、方便使用成像手段以及提供最先进的治疗策略来提供最佳治疗。多学科方法,包括外科医生、重症监护医生等,是绝对必要的。