Schreiner W, Castellanos I, Dudek W, Sirbu H
Thoraxchirurgische Abteilung, Universitätsklinikum Erlangen, Friedrich-Alexander-Universität, Krankenhausstr. 12, 91054, Erlangen, Deutschland.
Anästhesiologische Klinik, Universitätsklinikum Erlangen, Friedrich-Alexander-Universität, Krankenhausstr. 12, 91054, Erlangen, Deutschland.
Unfallchirurg. 2018 Aug;121(8):596-604. doi: 10.1007/s00113-018-0525-4.
Thoracic trauma can be a life-threatening condition due to the involvement of vital organs, such as the heart, lungs, tracheobronchial tree and the great vessels. A coordinated interdisciplinary management is vital for the survival of the injured person. Modern diagnostic procedures provide an essential basis for the surgical treatment of patients. Surgical treatment principles include insertion of chest drainage, emergency thoracotomy, complex bronchoplastic and vascular reconstructive techniques and cardiac surgical maneuvers. For this reason highly complex surgical procedures are available, which can be effectively and specifically integrated into an interdisciplinary concept. In this review, the most frequent and prognostically relevant conditions, the indicated diagnostics and their significance as well as the surgical treatment principles, are comprehensively presented under consideration of the clinical situation.
由于涉及心脏、肺、气管支气管树和大血管等重要器官，胸外伤可能是一种危及生命的情况。协调的跨学科管理对伤者的生存至关重要。现代诊断程序为患者的外科治疗提供了重要依据。外科治疗原则包括胸腔引流置入、急诊开胸手术、复杂的支气管成形术和血管重建技术以及心脏外科手术操作。因此，有高度复杂的外科手术可供选择，这些手术可以有效地、具体地纳入跨学科概念。在本综述中，考虑到临床情况，全面介绍了最常见和与预后相关的情况、所指示的诊断及其意义以及外科治疗原则。
