Hoffman J R
Ann Emerg Med. 1981 May;10(5):275-8. doi: 10.1016/s0196-0644(81)80057-1.
Emergency thoracotomy has become a mainstay in the resuscitation of patients with major thoracic injuries. It also is occasionally useful in several other life-threatening conditions. The specific indications for emergency thoracotomy are reviewed, and expeditious thoracotomy in the emergency department, when necessary, is advocated. Due to the strategic problems associated with carrying out such a major procedure in the emergency department, the grave prognosis for many of the patients for whom thoracotomy is considered, and the great expense of the procedure, emergency physicians must be aware of the specific indications and likely outcome when considering such a procedure.
急诊开胸手术已成为严重胸部损伤患者复苏的主要手段。它在其他几种危及生命的情况下偶尔也有用处。本文回顾了急诊开胸手术的具体适应证，并提倡在必要时于急诊科进行快速开胸手术。由于在急诊科进行如此重大手术存在策略性问题，许多考虑接受开胸手术的患者预后严重，且该手术费用高昂，因此急诊医生在考虑进行此类手术时必须了解其具体适应证和可能的结果。
