Flynn T C
University of Florida College of Medicine, Gainesville, USA.
Curr Opin Gen Surg. 1994:30-4.
Over the past 20 years, the predominant trend in the care of the civilian trauma patient has been toward less invasive therapy. Splenic injuries that are now being identified with computed tomography scan or ultrasound are managed without laparotomy. Similarly, in caring for the patient with potential vascular injury of the extremity, the trend has been toward less invasive means of diagnosis and therapy. Defining which patients need angiography and how to use duplex scanning and pressure indices are still evolving issues.
在过去20年里，平民创伤患者护理的主要趋势是采用侵入性较小的治疗方法。现在通过计算机断层扫描或超声检查发现的脾损伤无需开腹手术即可处理。同样，在护理有肢体潜在血管损伤的患者时，诊断和治疗方法也倾向于采用侵入性较小的手段。确定哪些患者需要血管造影以及如何使用双功扫描和压力指数仍是不断发展的问题。
