von Windheim K
Prax Klin Pneumol. 1979 Apr;33 Suppl 1:515-7.
60 persons with a chest trauma were treated during the past years. In a number of cases the injuries and the resulting complications were of so serious a nature that their repair was attended by the greatest difficulties. The most serious and initially unrecognized complications comprised: 1) tracheo-bronchial defects, partly of traumatic origin and partly arising during intensive care; 2) failure to detect rupture of the diaphragm with displacement of visceral organs into the thoracic cavity; 3) insufficient evacuation of blood or fluid from the pleural cavity; 4) failure to diagnose irreparable damage to part of the lungs. Means to repair these lesions are reviewed; the necessity for long-term observation of these cases is emphasized.
在过去几年中，对60例胸部创伤患者进行了治疗。在一些病例中，损伤及其导致的并发症非常严重，修复过程面临极大困难。最严重且最初未被识别的并发症包括：1）气管支气管缺损，部分源于创伤，部分在重症监护期间出现；2）未检测到膈肌破裂，内脏器官移位至胸腔；3）胸腔内血液或液体引流不充分；4）未诊断出肺部部分不可修复的损伤。文中回顾了修复这些损伤的方法，并强调了对这些病例进行长期观察的必要性。
