Jorden R C
Department of Emergency Medicine, Maricopa Medical Center, Phoenix, Arizona.
Emerg Med Clin North Am. 1993 Feb;11(1):97-106.
Penetrating chest trauma causes a broad spectrum of injury that requires a variety of diagnostic and resuscitative skills. Prompt resuscitation and decisive action are mandatory for patients who present in extremis, whereas a thorough diagnostic evaluation and appropriate observation are indicated in less compelling circumstances. Clinical skill and judgment along with plain radiographs provide the basis for treatment in most cases. More sophisticated imaging techniques, with the exception of angiography, are of limited value. A systematic approach based on wound location, be it central, peripheral, or proximate to the diaphragm, should result in timely resuscitation and sound diagnostic evaluation.
穿透性胸部创伤会导致一系列广泛的损伤，这需要多种诊断和复苏技能。对于处于危急状态的患者，迅速复苏和果断行动是必不可少的，而在情况不那么紧急时，则需要进行全面的诊断评估和适当的观察。在大多数情况下，临床技能和判断力以及普通X光片为治疗提供了依据。除血管造影外，更复杂的成像技术价值有限。基于伤口位置（无论是中央、周边还是靠近膈肌）的系统方法应能实现及时复苏和合理的诊断评估。
