Mattox K L, Allen M K
Injury. 1986 Sep;17(5):313-7. doi: 10.1016/0020-1383(86)90153-1.
While penetrating wounds of the thorax are rather uncommon in The Netherlands, they are frequently encountered in the emergency centres of the United States. Thoracic wall penetration may occur during times of warfare, during social altercations or as a result of industrial accidents. In civilian practice, such wounds are most often the result of injury with guns, knives or other sharp objects. Patients with penetrating thoracic wounds should be expeditiously transported to a trauma centre. Pre-hospital intravenous fluids, pleural decompression and anti-shock garments are contraindicated. On arrival in the emergency room, establishment of a patent airway, administration of intravenous fluids, pleural decompression and early X-ray examination of the chest are mandatory.
虽然胸部穿透伤在荷兰并不常见，但在美国的急诊中心却经常遇到。胸壁穿透伤可能发生在战争时期、社会冲突期间或工业事故中。在 civilian practice 中，此类伤口最常见的原因是被枪、刀或其他尖锐物体所伤。胸部穿透伤患者应迅速转运至创伤中心。院前静脉输液、胸腔减压和抗休克衣均为禁忌。到达急诊室后，必须建立通畅的气道、给予静脉输液、进行胸腔减压并尽早进行胸部X光检查。
