Ertel W, Trentz O
Klinik für Unfallchirurgie, Universitätsspital Zürich.
Chirurg. 1997 Nov;68(11):1071-5. doi: 10.1007/s001040050325.
The diagnostic strategies in multiple trauma aim at rapid identification of life-threatening injuries, recognition of serious organ lesions, and evaluation of the systemic trauma impact, as well as the resulting host reaction. Besides improvements in the structure and organization, major innovations in imaging techniques have significantly improved and accelerated evaluation of the patient with multiple injuries in the emergency room. Systematic diagnostic work-up, integrated multidisciplinary approach, and defined algorithms for traumatic key symptoms represent the hallmarks of successful emergency room management. In particular, diagnostic work-up of injured body cavities using sonography and helical computed tomography are evaluated.
多发伤的诊断策略旨在快速识别危及生命的损伤、识别严重器官病变、评估全身创伤影响以及由此产生的机体反应。除了在结构和组织方面的改进外，成像技术的重大创新显著改善并加速了急诊室中多发伤患者的评估。系统的诊断检查、综合的多学科方法以及针对创伤关键症状的明确算法是成功进行急诊室管理的标志。特别是，评估了使用超声和螺旋计算机断层扫描对受伤体腔进行的诊断检查。
