| 摘要: |
| 随着现代工业、交通运输业的快速发展，创伤发生率逐年升高，已成为1～45岁年龄段人口致死的首位原因。胸部创伤直接导致的死亡占创伤死亡的25%，成为仅次于颅脑损伤的重要死亡原因。严重胸部创伤（SCT）是指各种暴力外伤等因素造成胸壁及其胸腔内部重要脏器严重损伤，以致呼吸、循环功能障碍。近年来，诸如人工智能、损伤控制外科、电视辅助胸腔镜手术等新技术、新理念日新月异，极大丰富了临床胸部创伤的诊治。笔者结合当前胸部创伤临床诊治焦点，阐述新技术、新理念为胸部创伤诊治带来的新变化及新挑战，希望为SCT临床治疗提供参考、建议，从而提高患者救治率及生存率。 |
| 关键词: 严重胸部创伤 损伤控制外科 微创外科 并发症 |
| DOI：10.16781/j.CN31-2187/R.20220374 |
| 投稿时间：2022-05-04修订日期：2022-07-01 |
| 基金项目:上海市军民融合发展专项项目（JMRHCY-2019-019）． |
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| Diagnosis and treatment of severe chest trauma:focus and future |
| HAN Qian-yu,XUE Lei* |
(Department of Thoracic Surgery, The Second Affiliated Hospital of Naval Medical University (Second Military Medical University), Shanghai 200003, China
*Corresponding author) |
| Abstract: |
| With the rapid development of industry and transportation, the incidence of trauma is increasing year by year, and trauma has become the leading cause of death among population aged 1-45 years. Chest trauma is a significant cause of mortality, being responsible for 25% of trauma-related deaths, only next to craniocerebral injury. Severe chest trauma (SCT) refers to the severe injury of chest wall and important internal organs caused by various factors such as violent trauma, resulting in respiratory and circulatory dysfunction. In recent years, new technologies and concepts, such as artificial intelligence, damage control surgery, and video-assisted thoraoscopic surgery, are progressing with each passing day, greatly enriching the clinical diagnosis and treatment of chest trauma. Considering the current focus of clinical diagnosis and treatment of chest trauma, this paper expounds new changes and challenges brought by new technologies and concepts for the diagnosis and treatment of chest trauma, hoping to provide reference and suggestions for the clinical treatment of SCT, so as to improve the treatment rate and survival rate of patients. |
| Key words: severe chest trauma damage control surgery minimally invasive surgery complications |
