胸部创伤评分研究进展  

Research progress in chest trauma scoring systems

作　　者：靳贺 刘国栋 Jin He;Liu Guodong(Department of Cardiothoracic Surgery,926th Hospital of Joint Logistics Support Force of PLA,Kaiyuan 661600,China;Department of Wound Care Center,Daping Hospital,Army Medical University,Chongqing 400042,China)

机构地区：[1]解放军联勤保障部队第九二六医院心胸外科,开远661600 [2]陆军军医大学大坪医院战创伤医学中心,重庆400042

出　　处：《中华创伤杂志》2022年第5期467-472,共6页Chinese Journal of Trauma

摘　　要：胸部创伤占创伤总数的10%~15%,在创伤导致的死亡中,约25%是由胸部创伤所引起。规范、准确的创伤严重程度评估是患者得到有效救治的基础,应用胸部创伤专科评分评估创伤严重程度对预测患者的并发症和预后、制订临床决策和优化治疗方案均有重要意义。胸部创伤评分类型多样,功能特点各有不同,进行伤情评估时应依据致伤机制、损伤部位及诊疗需求选择适宜的创伤评分。笔者对不同类型胸部创伤评分的适用范围、评分方法及研究现状等进行综述,为临床胸部创伤诊治中更合理使用创伤评分提供参考。Chest trauma accounts for 10%-15%of total trauma and is responsible for approximately 25%of trauma-related deaths.Standard and accurate assessment of trauma severity is the basis for effective treatment.The application of chest trauma scoring systems to evaluate the severity of trauma is of great significance to prediction of complication and prognosis,clinical decision making and treatment optimization.The chest trauma scoring systems are varied with different functions and characteristics.When performing injury evaluation,an appropriate chest trauma scoring system should be selected according to the injury mechanism,injury site and needs of diagnosis and treatment.The authors review the application scope,scoring methods and research status of different chest trauma scoring systems,in order to provide references for more rational use of trauma scoring systems in clinical evaluation and treatment of chest trauma.

关 键 词：胸部损伤 损伤严重度评分 伤情评估 

分 类 号：R655[医药卫生—外科学]