Jurkovich G J, Pearce W H, Cleveland H C
J Trauma. 1983 Sep;23(9):844-8. doi: 10.1097/00005373-198309000-00010.
The increasing popularity of skiing as a recreational sport has resulted in a greater number of major thoracic and abdominal injuries. These injuries, unlike the more common orthopedic injuries, are often life threatening. This 8-year study reviews 44 thoracic and abdominal ski injuries managed at an urban trauma center since the inception of a helicopter air evacuation program with in-flight resuscitation capabilities. Twenty-five per cent of the injured had signs of hemorrhagic shock, and nearly 60% required a major operation. The injuries were caused by high-speed collisions with stationary objects or other skiers and by falls. Three were penetrating injuries. Organs injured were: heart, lung, kidney, spleen, liver, rectum and abdominal wall, and more than half were multiple injuries. Almost half had associated orthopedic trauma. Resuscitation was initiated on helicopter arrival in these seriously injured patients (78% of helicopter-transported patients came to operation), and apparently contributed to the low mortality of 4.5%.
滑雪作为一项休闲运动越来越受欢迎，导致了更多的严重胸腹部损伤。与更常见的骨科损伤不同，这些损伤往往危及生命。这项为期8年的研究回顾了自一个具备空中复苏能力的直升机空中撤离计划启动以来，在一家城市创伤中心处理的44例胸腹部滑雪损伤病例。25%的伤者有失血性休克迹象，近60%需要进行大手术。损伤是由与静止物体或其他滑雪者的高速碰撞以及跌倒造成的。有3例是穿透伤。受伤的器官有：心脏、肺、肾、脾、肝、直肠和腹壁，超过一半是多处损伤。几乎一半患者伴有骨科创伤。对于这些重伤患者，直升机一到达就开始进行复苏（78%通过直升机转运的患者接受了手术），这显然有助于将死亡率降至4.5%。
