Dennis Bradley M, Bellister Seth A, Guillamondegui Oscar D
Division of Trauma, Surgical Critical Care, and Emergency General Surgery, Department of Surgery, Vanderbilt University Medical Center, 1211 21st Avenue South, 404 Medical Arts Building, Nashville, TN 37212, USA.
Division of Trauma, Surgical Critical Care, and Emergency General Surgery, Department of Surgery, Vanderbilt University Medical Center, 1211 21st Avenue South, 404 Medical Arts Building, Nashville, TN 37212, USA.
Surg Clin North Am. 2017 Oct;97(5):1047-1064. doi: 10.1016/j.suc.2017.06.009.
Management of chest trauma is integral to patient outcomes owing to the vital structures held within the thoracic cavity. Understanding traumatic chest injuries and appropriate management plays a pivotal role in the overall well-being of both blunt and penetrating trauma patients. Whether the injury includes rib fractures, associated pulmonary injuries, or tracheobronchial tree injuries, every facet of management may impact the short- and long-term outcomes, including mortality. This article elucidates the workup and management of the thoracic cage, pulmonary and tracheobronchial injuries.
由于胸腔内包含重要结构,胸部创伤的管理对于患者的预后至关重要。了解创伤性胸部损伤并进行适当管理,对钝性和穿透性创伤患者的整体健康起着关键作用。无论损伤包括肋骨骨折、相关的肺部损伤还是气管支气管树损伤,管理的每个方面都可能影响短期和长期预后,包括死亡率。本文阐述了胸廓、肺部和气管支气管损伤的检查和管理。