紧急程度低
--
所有的打击,切割或烧伤都会伤害胸腔的任何结构。
造成胸部创伤的原因很多(交通事故,意外坠落,工伤事故,枪械和武器造成的伤害,运动事故等)。
最重要的症状是胸痛和呼吸短促,咳嗽或由于疼痛而深深地激发。
通过进行临床病史,体格检查和影像学检查(放射摄影和胸部计算机断层扫描)进行诊断。
治疗将取决于需要镇痛,休息的病变,甚至可能需要放置胸腔引流管或手术缝合线。
- Eric Legome, MD, Jean M Hammel, MD. Initial evaluation and management of chest wall trauma in adults. UpToDate. Sep 20, 2016.
- Odell DD, Peleg K, Givon A, et al. Sternal fracture: isolated lesion versus polytrauma from associated extrasternal injuries--analysis of 1,867 cases. J Trauma Acute Care Surg 2013; 75:448.
- Oyetunji TA, Jackson HT, Obirieze AC, et al. Associated injuries in traumatic sternal fractures: a review of the National Trauma Data Bank. Am Surg 2013; 79:702.
- Baldwin KD, Ohman-Strickland P, Mehta S, Hume E. Scapula fractures: a marker for concomitant injury? A retrospective review of data in the National Trauma Database. J Trauma 2008; 65:430.
- Weening B, Walton C, Cole PA, et al. Lower mortality in patients with scapular fractures. J Trauma 2005; 59:1477.
- Kea B, Gamarallage R, Vairamuthu H, et al. What is the clinical significance of chest CT when the chest x-ray result is normal in patients with blunt trauma? Am J Emerg Med 2013; 31:1268.
医生 Elvira Moreno
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