创伤性炎症课件

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

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

3、radiationinj.ClassificationIII–LocationofInjurycranialorskullinjurythoracicorchestinjuryabdominalinjuryextremityinjurymaxillofacialinjuryvisceralinjuryClassificationVI–Integrityoftheskincloseinjuryskinintactopeninjuryskindamagepossibletobecontaminatedorinfectedsepticinfect

4、ionClassificationV-SeverityofinjuryslightinjurysevereormortalinjuryaffectvitalsignsconsciousnessbreathingcirculationAffectingfactorsAgeofvictimAnatomyMechanismofInjuryAffectingfactorsAgeofvictimtheelder-worseresult&highmortalityratereasons–difficultyindiagnosislimitedonorg

5、anreservelessflexibleofskeletonconcurrentmedicaldiseaseAffectingfactorsAnatomyimpactresistancefixationofbodypartsanatomicprotectionAffectingfactorsAnatomy5highimpactresistancepartssignificantenergy&associateinjury1thrib2edribsternumscapulafemurAffectingfactorsAnatomyhighim

6、pactresistance–associateinj.1thribF.-mortalitychestcraniumabdomen36.3%64%53%33%mortality&morbidity1thribF.89%2edribF.80%AffectingfactorsAnatomyhighimpactresistance–associateinj.SternumF.-cardiaccontusionorinjuryScapulaF.-thoracicinjuryFemurF.-KneeligamentinjuryAffectingfac

7、torsAnatomyfixationofbodypartsPartsmallintestineduodenumvertebraNatureintraperitonealretroperitonealsolidFixationpoorgoodsolidRateofdecel.slow↓fast↓immediateInjuryraptureperforationcrush↑closeofpyloruscontractureofTreitslig.AffectingfactorsAnatomyanatomicprotectionofbodypa

8、rtsvehicle←skull←brain1thimpact2edimpact↓protection↓productionbraintraumaAffectingfactors