Mutschler W, Marzi I, Ziegenfuss T
Abteilung für Unfall-, Hand- und Wiederherstellungschirurgie, Chirurgische Universitätsklinik, Homburg/Saar.
Zentralbl Chir. 1996;121(11):979-84.
Despite a high standard of preclinical, clinical and rehabilitative trauma care, the number and degree of injuries will remain a social and medical challenge. Improvements of trauma care in the future may be possible in respect to social, economic, organisational, clinical and research issues. Prevention of trauma will be of major impact and improvements may be possible by preventive legislation and technical developments. Organisation of trauma care should integrate high level trauma centres early-on including a national, regional and local quality control system. The future preclinical and clinical individual care of multiple trauma patients should consider the complex pathophysiological mechanisms at all levels, while the understanding of these mechanisms is increasing continuously.
尽管临床前、临床及康复创伤护理水平很高，但损伤的数量和程度仍将是一项社会和医学挑战。未来在社会、经济、组织、临床及研究问题方面，创伤护理或许有可能得到改善。创伤预防将产生重大影响，通过预防性立法和技术发展有可能实现改善。创伤护理的组织应尽早纳入高水平创伤中心，包括国家、区域和地方质量控制体系。未来对多发伤患者的临床前及临床个体化护理应在各个层面考虑复杂的病理生理机制，而对这些机制的理解也在不断加深。
