Radenovski D, Zlatarski G, Lulchev D
Khirurgiia (Sofiia). 1997;50(4):29-32.
Thoracic and associated injuries pose problems demanding enormous interdisciplinary efforts regardless of the improved organizational, diagnostic and treatment potentialities. As shown by the experience of the Emergency Surgery Section at the Pirogov Institute, rendering medical services to patients presenting chest and associated injuries require coordinated integration of specialists from various profiles along with specification of the priorities and hierarchy of the emergency measures undertaken. Over a 12-year period (1985 through 1996), a total of 6983 patients with chest, abdominal and multiple trauma are admitted. They are distributed as follows: chest trauma casualties--3286, abdominal trauma--679, and multiply injured--3018. Chest injuries are divided in close and open injuries--2843 and 444, respectively; the latter include 29 gunshot and 415 penetrating-incise wounds. The abdominal trauma group includes 679 cases, distributed as follows: spleen rupture--341, disruption of liver and mesenterium--151, and lesion to a hollow abdominal organ--187.
胸部及相关损伤带来了诸多问题，无论组织、诊断和治疗的潜力如何提高，都需要巨大的跨学科努力。正如皮罗戈夫研究所急诊外科的经验所示，为胸部及相关损伤患者提供医疗服务需要各专业专家的协调整合，以及明确所采取急救措施的优先级和层级。在12年期间（1985年至1996年），共收治了6983例胸部、腹部和多发伤患者。分布情况如下：胸部创伤伤亡患者——3286例，腹部创伤——679例，多发伤——3018例。胸部损伤分为闭合性和开放性损伤，分别为2843例和444例；后者包括29例枪伤和415例穿透伤-切割伤。腹部创伤组包括679例，分布如下：脾破裂——341例，肝和肠系膜破裂——151例，腹部中空器官损伤——187例。
