Ludwig Corinna, Koryllos Aris
Department of Thoracic Surgery, Florence Nightingale Hospital, Düsseldorf, Germany.
Department of Thoracic Surgery, Private University Witten-Herdecke, Metropolitan Hospital of Cologne Merheim, Cologne, Germany.
J Thorac Dis. 2017 Apr;9(Suppl 3):S172-S177. doi: 10.21037/jtd.2017.03.52.
Trauma is the leading cause of death worldwide. Approximately 2/3 of the patients have a chest trauma with varying severity from a simple rib fracture to penetrating injury of the heart or tracheobronchial disruption. Blunt chest trauma is most common with 90% incidence, of which less than 10% require surgical intervention of any kind. Mortality is second highest after head injury, which underlines the importance of initial management. Many of these deaths can be prevented by prompt diagnosis and treatment. What is the role of the thoracic surgeon in the management of chest trauma in severely injured patients? When should the thoracic surgeon be involved? Is there a place for minimal invasive surgery in the management of severely injured patients? With two case reports we would like to demonstrate how the very specific knowledge of thoracic surgeons could help in the care of trauma patients.
创伤是全球范围内的主要死因。约三分之二的患者存在胸部创伤，严重程度各异，从单纯肋骨骨折到心脏穿透伤或气管支气管断裂。钝性胸部创伤最为常见，发生率为90%，其中不到10%需要任何形式的手术干预。死亡率仅次于颅脑损伤，这凸显了初始处理的重要性。通过及时诊断和治疗，许多此类死亡是可以预防的。胸外科医生在严重受伤患者的胸部创伤管理中扮演着什么角色？胸外科医生应何时介入？在严重受伤患者的管理中，微创手术是否有一席之地？通过两个病例报告，我们想展示胸外科医生的专业知识如何有助于创伤患者的护理。
