Andreassian B, Lebard C, Roger W, Parmentier G, De Crepy B, Parrot A M, Kitzis M, Baumann J
J Chir (Paris). 1982 Jan;119(1):3-11.
Overall mortality after treatment of 221 thoracic or abdominothoracic wounds was 5 p. cent in a recent series, mortality from bullet wounds being the double of that from other weapons. Isolated thoracic wounds without cardiac lesions have a good prognosis, whereas mortality after heart or abdominothoracic wounds remains high (12.5 p. and 14 p. cent respectively). Apart from those with severe hepatic injuries or wounds of the suprahepatic veins, most of the injured patients that died were in cardiac arrest on arrival. Different therapeutic attitudes are necessary for pure thoracic wounds and those involving the abdominothoracic region. It is essential to gain as much time as possible at all stages, particularly during transport of the injured and when deciding the course of treatment, to avoid losing patients with curable lesions.
在最近的一组病例中，221例胸腹部创伤患者经治疗后的总体死亡率为5%，枪伤导致的死亡率是其他武器所致死亡率的两倍。无心脏损伤的单纯胸部创伤预后良好，而心脏或胸腹联合伤后的死亡率仍然很高（分别为12.5%和14%）。除了那些有严重肝损伤或肝上静脉损伤的患者外，大多数死亡的受伤患者在到达时已心脏骤停。对于单纯胸部创伤和涉及胸腹区域的创伤，需要采取不同的治疗态度。在所有阶段，尤其是在伤员转运过程中和决定治疗方案时，尽可能争取更多时间至关重要，以避免失去可治愈损伤的患者。
