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机构地区:[1]第四军医大学附属唐都医院胸外科,陕西西安710038
出 处:《创伤外科杂志》2014年第2期189-191,共3页Journal of Traumatic Surgery
摘 要:医学技术的飞速发展正在逐步改变胸部外伤的传统诊疗模式。笔者就近年对胸部外伤诊疗领域有深远影响的医学技术,如超声技术、电视胸腔镜技术、肺保留术、腔内治疗主动脉损伤、手术矫正连枷胸、体外膜肺氧合技术等进行论述,这些新技术正在不知不觉改变胸部外伤传统的诊断标准和治疗模式。My purpose today is to discuss a few examples of technological advancement that have, and will, dramatically change the way we treat patients with thoracic trauma. While there are innumerable examples that might be appropriate for discussion, I have chosen to focus on a few examples that I consider particularly significant. In many instances, new technologies have unexpectedly displaced the previously established standards for the diagno- sis and treatment of these potentially devastating injuries. Examples of those technologies include the use of ultra- sound technology for the diagnosis of cardiac tamponade and pneumothorax ; thoracoscopic techniques instead of tho- racotomy, pulmonary tractotomy, and stapled lung resection; endovascular repair of thoracic aortic injury; operative fixation of flail chest ; and the enhanced availability of extracorporeal lung support for severe respiratory failure.
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