严重胸部创伤诊治：焦点和未来

随着世界现代工业、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要原因。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(severe chest trauma,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、VATS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,希望为严重胸部创伤临床治疗提供参考、建议,提高患者救治率及生存率。

Diagnosis and treatment of severe chest trauma:focus and future

With the rapid development of industry and transportation, the incidence of trauma is increasing year by year and has become the leading cause of death among people aged 1-45. Chest trauma is a significant cause of mortality, being responsible for 25% of trauma-related deaths , only second to craniocerebral injury. Severe chest trauma (SCT) refers to the severe injury of chest wall and important internal organs caused by various violent trauma factors, resulting in respiratory and circulatory dysfunction. In recent years, such as artificial intelligence, damage control surgery, VATS surgery and other new technologies, new ideas are changing with each passing day, greatly enrich the clinical diagnosis and treatment of chest trauma. Combined with the current focus of clinical diagnosis and treatment of chest trauma, this paper expounds the new changes and challenges brought by new technologies and new concepts for the diagnosis and treatment of chest trauma, hoping to provide reference and suggestions for the clinical treatment of severe chest trauma, and improve the treatment rate and survival rate of patients