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SectionIIIPathophysiologyoftrauma创伤病理生理1.Inflammation炎症Inflammationaftertrauma创伤后炎症inflammationstaging炎症分段Injury损伤ClinicalpresentationsofSIRS全身炎症反应综合征临床表现Typesofinflammatorymediators炎性介质类型Cytokines细胞因子多器官功效障碍综合征——周荣斌神经内分泌系统改变水、电解质代谢紊乱3.Woundhealing创伤愈合Whatisgranulation?肉芽组织Whatisangiogenesis?血管生成Whatisepithelialization?上皮形成Theprocessofrepair修复过程Typesofwoundhealing伤口愈合类型Typesofwoundhealing伤口愈合类型4.complicationoftrauma创伤并发症Relationshipbetweensystemicandlocal系统与局部关系Respiration呼吸respiratoryrate:25/15/min,cyanosis.呼吸频率25/15次/分,发绀Bloodpressureandpulserate血压、脉率pulserate>100/min,bloodpressure<90mmHg.脉率>100/min,血压<90mmHgConsciousnessandpupilsmotion意识、瞳孔GlasgowscaleandCRAMSGlasgow昏迷评分法/CRAMS评分Localwoundinspectionprinciples局部伤口检验标准Experimentalpuncture诊疗性穿刺abdominocentesis腹腔穿刺thoracentesis胸腔穿刺Exploratorysurgery探查术Adjunctivecheck辅助检验imaging:CTMRIX-ray成像:CT、MRI、X线Abdominocentesis腹腔穿刺术