胸部创伤管理：一本实用指南

English | 424 pages | Springer; 1st ed. 2022 edition (August 23, 2022) | 3031069587 | PDF | 24 Mb

75% of patients who die from trauma have injuries to the chest. The care of the chest trauma patient can be incredibly complex, require multiple specialty and sub-specialty services, and may require interventions available only at quaternary referral centers. This book provides a comprehensive, state-of-the-art overview of chest trauma. The text reviews all aspects of chest wall, intra-thoracic organ, and great vessel injury management, with each section of the book structured anatomically to explore specific treatment options. The first section of the book contains an overview and introduction to the topic, discussing the definition and significance of chest trauma, initial resuscitation of the chest trauma patient, and centers of excellence, health systems, and regionalization. The following section is focused on chest wall injury, with chapters on acute rib fractures, sternal fracture, clavicle and scapula fractures, non-surgical aids in fracture healing, and anesthesia considerations. The next section spotlights thoracic organ injury, specifically focusing on cardiac injury, aorta and great vessel injury, esophageal injury, tracheal and pulmonary injury, and thoraco-abdominal and combined injuries. Since injury care alone is insufficient in guiding the totality of care, the fourth section is dedicated to inpatient critical care. Topics covered in this section include principles of ICU resuscitation, coagulopathy management, ICU monitoring, ventilator management, and advanced acute pain management. With the increase in violent extremism around the world, including the use of non-conventional weapons, as well as the plethora of natural and man-made disasters, disaster and mass casualty events is the timely subject of the book's final section. Specific topics tackled in this section include blast injury, blast lung, pulmonary aspiration, thoracic crush injury after natural and man-made disasters, toxic agent exposures, the role of the local facility during a national disaster, and the ethics of resource of allocation. The text also features over 100 high-yield illustrations, photographs, and tables.

75%的创伤死亡患者胸部受伤。胸腔创伤患者的护理极其复杂，需要多种专科和亚专科服务，并且可能仅能在转诊中心获得某些干预措施。 本书提供了全面、最先进的胸腔创伤概览。文本审查了胸壁、胸内器官以及大血管损伤管理的所有方面，每本书的部分都根据解剖学结构来探索特定的治疗选项。 本书的第一部分包含对主题的整体概述和介绍，讨论胸腔创伤的定义及其重要性、创伤患者的初始复苏、中心优势、医疗系统和地区化。接下来的部分专注于胸壁损伤，包括急性肋骨骨折、剑突骨折、锁骨和肩胛骨骨折、非手术辅助骨折愈合以及麻醉考虑的内容。下一节则聚焦于胸内器官损伤，特别是心脏损伤、主动脉及大血管损伤、食道损伤、气管及肺部损伤，以及胸腹联合伤和复合伤。 由于单独的创伤护理不足以指导整体护理，因此第四部分专用于住院重症监护。该部分内容涵盖ICU复苏的原则、凝血功能管理、ICU监测、呼吸机管理以及高级急性疼痛管理等主题。 随着全球暴力极端主义的增加，包括不寻常武器的应用，以及自然灾害和人为灾害中的大量自然和人为灾难，本书的最后一节提出了及时的主题。这一部分探讨的具体话题包括爆炸伤、肺部损伤、气管吸入、在自然灾害后的胸腹压迫伤、化学物质暴露的角色、地方设施在国家灾难期间的作用，以及资源分配伦理。文本还包含超过100幅高价值插图、照片和表格。

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