重新认识严重胸部损伤的救治  

Attach further great importance to treatment of severe chest injury

作　　者：易云峰[1] Yi Yunfeng(Department of Cardiothoracic Surgery,909th Hospital of Joint Logistics Support Force(Affiliated Dongnan Hospital of Xiamen University),Zhangzhou 363000,China)

机构地区：[1]解放军联勤保障部队第九〇九医院(厦门大学附属东南医院)心胸外科,漳州363000

出　　处：《中华创伤杂志》2020年第7期591-595,共5页Chinese Journal of Trauma

基　　金：全军后勤科研项目(CWH17J030,CNJ14C007)。

摘　　要：严重胸部损伤一直是创伤患者死亡的主要原因之一。严重胸部损伤以高能量损伤为主,伤情严重和复杂,救治难度不断增大。近年来,胸腔镜、体外膜氧合(ECMO)等先进技术的发展及创伤救治理念的更新,使得过去许多治疗无望的严重胸部损伤患者获得妥善的救治。目前,对严重胸部损伤的临床治疗仍然存在一些模糊认识和争议,笔者结合文献和临床救治经验,对几类严重胸部损伤的救治方法选择和手术时机等进行分析,为严重胸部损伤的规范治疗提供借鉴。Severe chest injury has been one of the main causes of death in trauma patients.The most common mechanism of injury results from high energy.The injury has become more serious and complicated and the treatment is more difficult.In recent years,with the development of thoracoscopy,extracorporeal membrane oxygenation(ECMO)and other advanced technologies and the innovation of trauma treatment concepts,many patients with severe chest injury who were hopelessly treated in the past have been treated properly.There still remain some vague understandings and controversies in the clinical treatment of severe chest injury.The author analyzes the treatment of several types of severe chest injury and surgical timing,so as to provide reference for standard treatment of severe chest injury.

关 键 词：胸部损伤 外科手术 创伤和损伤 

分 类 号：R655[医药卫生—外科学]