Schwemmle K, Filler D, Kirndörfer D
Unfallchirurgie. 1981;7(2):70-5. doi: 10.1007/BF02589635.
The absolutely prior task in patients with multiple injuries is to maintain the cardiac and pulmonary functions. Furthermore a quick decision is needed regarding additional life-saving operations. Apart from a careful clinical investigation simple diagnostic procedures are necessary (chest x-ray, peritoneal lavage). The life of the injured person is endangered through hemorrhages. The most effective therapy is to recognize and to stop these bleedings. The surgical repair of intestinal ruptures, injuries to the pancreas, ruptures of the diaphragm and other problems can be postponed. The same applies to most of the thoracic injuries, except to the tension pneumothorax. Mediastinal injuries require the use of the heart-lung-machine, if the heart and the big vessels are involved. The extent of an operation and the intraoperative procedure are determined by the injury.
对于多发伤患者，首要任务是维持心肺功能。此外，需要迅速决定是否进行其他挽救生命的手术。除了仔细的临床检查外，还需要进行简单的诊断程序（胸部X光、腹腔灌洗）。伤者的生命因出血而受到威胁。最有效的治疗方法是识别并止血。肠道破裂、胰腺损伤、膈肌破裂及其他问题的手术修复可推迟。大多数胸部损伤也可推迟处理，除了张力性气胸。如果涉及心脏和大血管，纵隔损伤需要使用心肺机。手术范围和术中操作由损伤情况决定。
