Weber Sean A, McGahan Mackenzie M, Kaufmann Christoph, Biswas Saptarshi
Surgery, Grand Strand Medical Center, Myrtle Beach, USA.
Trauma and Acute Care Surgery, Allegheny Health Network, Pittsburgh, USA.
Cureus. 2020 Jun 8;12(6):e8514. doi: 10.7759/cureus.8514.
Suspension trauma is a potentially dangerous outcome of the body's normal physiological response to motionless vertical suspension from a rope. All who use a safety harness are at risk, and the growing need for occupational work at extreme heights in addition to the interest in caving and mountaineering worldwide has led to an increased number of individuals wearing protective harnesses for work and recreation. It has been described as the cause of death in many climbing incidents and has been demonstrated in multiple studies for improvement of employee fall protection. Although suspension trauma is potentially life-threatening, there is a lack of scientific data to define an exact mechanism of injury, and there is little conclusive evidence about the proper management of victims. This has led to controversy surrounding the topic of postsuspension management. The discussion of suspension trauma has historically been led by nonmedical experts, but the recent push for more evidence-based research has created a better understanding of the condition. Further investigation of the pathophysiological mechanism of suspension trauma and more complete collection of data from individual cases will increase our understanding of the topic and lead to better decision making in the management of victims.
悬吊创伤是身体对绳索静止垂直悬吊的正常生理反应可能产生的危险后果。所有使用安全带的人都有风险，除了全球范围内对洞穴探险和登山的兴趣外，对极端高度职业工作的需求不断增加，导致越来越多的人在工作和娱乐时佩戴防护安全带。在许多攀岩事故中，它被描述为死亡原因，并且在多项改善员工坠落保护的研究中得到了证实。尽管悬吊创伤可能危及生命，但缺乏科学数据来确定确切的损伤机制，关于受害者的妥善处理也几乎没有确凿证据。这导致了围绕悬吊后处理这一话题的争议。悬吊创伤的讨论历来由非医学专家主导，但最近对更多循证研究的推动使人们对这种情况有了更好的理解。对悬吊创伤病理生理机制的进一步研究以及从个别病例中更全面地收集数据，将增进我们对该话题的理解，并在受害者处理方面做出更好的决策。
