穿透性胸部创伤

Penetrating thoracic trauma.

作者信息

Brutel de la Rivière A, Brummelkamp W H

出版信息

Scand J Thorac Cardiovasc Surg. 1980;14(1):123-7. doi: 10.3109/14017438009109867.

Abstract

An analysis of 337 wilfully inflicted penetrating thoracic injuries is made. In 22 cases thoracotomy was performed; in 19 cases laparotomy was indicated, ten times for direct trauma and nine times for lesions caused by abdominal stabbing in addition to penetrating thoracic injuries. Eight patients died, one of whom was not operated on. A necrology is presented and it is also concluded from the recent literature that a more aggressive approach, e.g. immediate operation, is indicated for serious penetrating thoracic trauma.

摘要

对337例故意造成的穿透性胸部损伤进行了分析。22例行开胸手术；19例需行剖腹手术，其中10例为直接创伤，9例为除穿透性胸部损伤外腹部刺伤所致损伤。8例患者死亡，其中1例未接受手术。列出了死亡病例报告，并且从近期文献中得出结论，对于严重的穿透性胸部创伤，应采取更积极的治疗方法，如立即手术。