医学书籍介绍

   关于腹部创伤的治疗原则

   衣阿华大学健康中心外科系

进入 阅读页面

Carol EH Scott-Conner, MD, PhD

      The assessment begins with the ABC's of trauma resuscitation. As you obtain a history, begin looking for clues for possible intra-abdominal injury (which should be suspected with trauma to the chest or abdomen). When the wounding agent is a bullet, knife, or other penetrating agent, it is tempting to draw immediate conclusions from the presumed trajectory. Such conclusions may be incorrect if the bullet is deflected by bone or fascia, or embolizes, or if the patient was in a contorted position when injured. Even the simple act of respiration, by moving the diaphragm up or down, may be crucial in determining whether intra-abdominal injury has occurred after a penetrating wound to the chest. Suspect intra-abdominal injury whenever penetrating trauma to the chest, abdomen, flanks, back or buttocks has occurred. Do not forget to inspect the entire skin surface, including the back, buttocks, and flank. Universal precautions must be employed by all members of the team who are likely to be exposed to blood or body fluids.

CAROL SCOTT-CONNER, M.D., Ph.D.

Professor

Head, Department of Surgery, University of Iowa Hospitals & Clinics