处理原则9.ppt

2003-3-31 Trauma MM Conference Blunt Thoracic Injury  Chao-Wen Chen Attending Surgeon Trauma Service, KMUH Preface 2/3 of victims of major blunt trauma suffer from thoracic injury. Thoracic injuries account for 20-25% of deaths due to trauma. Major thoracic trauma is associated with multisystem injuries in 70% of cases. Common Injuries Develop After Blunt Chest Trauma Thoracic cage fractures Lung contusion and tears Myocardium contusion Aortic rupture Initial Survey Assume the existence of C-spine injury ABCs Gerneral evaluation: PE, PH, ECG, or ABG… Chest x-ray Administer oxygen 處理原則