LIVER INJURY Raws li exsanguination yog qhov tshwm sim ntau tshaj (85%) ua rau kev tuag ntawm cov kev raug mob hnyav heev thiab nyuaj, thawj qhov tseem ceeb hauv kev raug mob ntawm lub portal triad trauma yog hemorrhage tswj, tshwj xeeb phau ntawv compression ua raws li Pringle maneuver.
Qhov kev raug mob twg tuaj yeem ua rau mob rau sab laug xub pwg thoracic trauma?
teeb meem plawv lossis hlab ntsha uas mob ntau dua nyob rau sab caj npab thiab xub pwg, xws li mob plawv lossis mob ib puag ncig lub plawv ( pericarditis).
Qhov kev raug mob thoracic ua rau dullness ntawm percussion?
Tib lub sijhawm, hemothorax tuaj yeem ua rau atelectasis hauv lub ntsws thiab ua rau ua pa nyuaj. flattening ntawm lub caj dab veins, hypotension, tachycardia, txo ua pa suab, dullness nyob rau hauv lub percussion ntsuam xyuas ntawm qhov raug mob yuav tsum qhia hemothorax.
Lub plawv lub plawv twg yog qhov yooj yim tshaj plaws rau kev ua tsis ncaj thiab nkag mus rau kev raug mob?
Kev tuag ntawm qhov Scene
Vim rau nws qhov chaw sab nrauv, txoj cai ventricle yog lub tsev raug mob ntau tshaj plaws hauv 40% ntawm cov neeg raug tsim txom [3, 6– 8] (Table 1). Txoj cai atrium thiab sab laug ventricle ua raws li qhov thib ob thiab thib peb, nrog kev raug mob ntawm 30% mus rau 33% [7–9].
Dab tsi yog qhov mob hnyav tshaj plaws?
Kev raug mob thoracic loj yog hu ua Lub Kaum Ob Hlis. Lub Lethal Six (airway obstruction, nro pneumothorax, lub plawv tamponade, qhib pneumothorax, hemothorax loj, thiab lub hauv siab flail) yog tam sim ntawd, kev raug mob rau lub neej uas yuav tsum tau soj ntsuam thiab kho thaum lub sij hawm soj ntsuam thawj.
