创伤性炎症（局部反应）_1课件

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

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

3、j.radiationinj.ClassificationIII–LocationofInjurycranialorskullinjurythoracicorchestinjuryabdominalinjuryextremityinjurymaxillofacialinjuryvisceralinjuryClassificationVI–Integrityoftheskincloseinjuryskinintactopeninjuryskindamagepossibletobecontaminatedorinfectedsepticinf

4、ectionClassificationV-SeverityofinjuryslightinjurysevereormortalinjuryaffectvitalsignsconsciousnessbreathingcirculationAffectingfactorsAgeofvictimAnatomyMechanismofInjuryAffectingfactorsAgeofvictimtheelder-worseresult&highmortalityratereasons–difficultyindiagnosislimitedo

5、norganreservelessflexibleofskeletonconcurrentmedicaldiseaseAffectingfactorsAnatomyimpactresistancefixationofbodypartsanatomicprotectionAffectingfactorsAnatomy5highimpactresistancepartssignificantenergy&associateinjury1thrib2edribsternumscapulafemurAffectingfactorsAnatomyh

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

7、ingfactorsAnatomyfixationofbodypartsPartsmallintestineduodenumvertebraNatureintraperitonealretroperitonealsolidFixationpoorgoodsolidRateofdecel.slow↓fast↓immediateInjuryraptureperforationcrush↑closeofpyloruscontractureofTreitslig.AffectingfactorsAnatomyanatomicprotectiono

8、fbodypartsvehicle←skull←brain1thimpact2edimpact↓protection↓productionbraintraumaAffectingfactors