Trauma torácico contuso em jovens adultos: uma revisão narrativa sobre desfechos e abordagens atuais
DOI:
https://doi.org/10.34119/bjhrv9n1-209Keywords:
trauma torácico contuso, jovens adultos, TEVAR, complicações respiratórias, índice de choque, diagnóstico por imagemAbstract
O trauma torácico contuso permanece como uma das principais causas de morbimortalidade em pacientes politraumatizados, especialmente entre jovens adultos. Esta revisão narrativa analisou as evidências recentes sobre desfechos clínicos e abordagens diagnósticas e terapêuticas aplicadas a esse perfil populacional. Foram incluídos 17 estudos publicados entre 2016 e 2026, selecionados a partir da base de dados PubMed, abordando desde complicações respiratórias até intervenções vasculares como o TEVAR. Os achados indicam que a mortalidade associada a lesões aórticas continua elevada, embora o uso de estratégias minimamente invasivas e ferramentas diagnósticas avançadas, como tomografia computadorizada e ultrassom pulmonar, tenha contribuído para a melhora dos resultados clínicos. O reconhecimento precoce de fatores de risco e a atuação integrada das equipes de trauma são fundamentais para o manejo eficaz da condição. Apesar dos avanços, persistem desafios clínicos e logísticos que exigem aprofundamento por meio de estudos futuros com delineamentos robustos.
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