创伤性炎症局部反应

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1、TRAUMADefinitionClassificationAffectingFactorsPathologyClinicmanifestationDiagnosis&TreatmentBasicPrinciplesDefinitionofTraumaPhysicalagents→←Humanbody↓energyrelease&absorbed↓Structuralalteration&Physiologicimbalance↓InjuryORWoundClassificationI-InjurytypetrafficinjuryIndustrialin

2、jurysportsinjurywarornuclearwarinjuryClassificationII–Injurycausingagentpenetratinginjury-sharpinstrumentinj.Leastforceknifecut,missilesbluntforceinjury-contusion,bruisemoreforcecrushinjury-carrunningoverinj.mostforceothersources-thermalinj.freezeinj.electricalinj.radiationinj.Cla

3、ssificationIII–LocationofInjurycranialorskullinjurythoracicorchestinjuryabdominalinjuryextremityinjurymaxillofacialinjuryvisceralinjuryClassificationVI–IntegrityoftheskincloseinjuryskinintactopeninjuryskindamagepossibletobecontaminatedorinfectedsepticinfectionClassificationV-Sever

4、ityofinjuryslightinjurysevereormortalinjuryaffectvitalsignsconsciousnessbreathingcirculationAffectingfactorsAgeofvictimAnatomyMechanismofInjuryAffectingfactorsAgeofvictimtheelder-worseresult&highmortalityratereasons–difficultyindiagnosislimitedonorganreservelessflexibleofskeletonc

5、oncurrentmedicaldiseaseAffectingfactorsAnatomyimpactresistancefixationofbodypartsanatomicprotectionAffectingfactorsAnatomy5highimpactresistancepartssignificantenergy&associateinjury1thrib2edribsternumscapulafemurAffectingfactorsAnatomyhighimpactresistance–associateinj.1thribF.-mor

6、talitychestcraniumabdomen36.3%64%53%33%mortality&morbidity1thribF.89%2edribF.80%AffectingfactorsAnatomyhighimpactresistance–associateinj.SternumF.-cardiaccontusionorinjuryScapulaF.-thoracicinjuryFemurF.-KneeligamentinjuryAffectingfactorsAnatomyfixationofbodypartsPartsmallintestine

7、duodenumvertebraNatureintraperitonealretroperitonealsolidFixationpoorgoodsolidRateofdecel.slow↓fast↓immediateInjuryraptureperforationcrush↑closeofpyloruscontractureofTreitslig.AffectingfactorsAnatomyanatomicprotectionofbodypartsvehicle←skull←brain1thimpact2edimpact↓protection↓prod

8、uctionbraintraumaAffectingfactors