Martinod E, Lang-Lazdunski L, Liard O, Jancovici R
Service de chirurgie thoracique et générale, Hôpital d'instruction des armées-Percy, Clamart.
Rev Prat. 1997 May 1;47(9):964-70.
Thoracic and abdominal wounds are characterized by their diversity, their possible danger and the necessity of a successful diagnosis and therapy strategy. Management of thoracic wounds and indications of surgical treatment are conditioned by airway and hemodynamic states, paraclinical exams and chest drainage. The approach of abdominal wounds is based upon their possible penetrating character. Surgical indications, even if very discussed, are still wider. Thoraco-abdominal wounds could concern the diaphragm and are remarkable for their surgical strategy.
胸腹部创伤具有多样性、潜在危险性以及成功诊断和治疗策略的必要性。胸伤的处理及手术治疗指征取决于气道和血流动力学状态、辅助检查及胸腔引流情况。腹部创伤的处理基于其可能的穿透性特点。手术指征即便存在很大争议,但范围仍然更广。胸腹联合伤可能累及膈肌,其手术策略值得关注。