贯通纵隔的枪弹伤伤员能存活而送达医院时有不同表现,严重的需立即剖胸探查(不能搬动者就地在急诊室进行),预后多不佳;病情稳定者有进行诊断性检查的充分时间,其中主动脉和食管有无损伤可经胸片、心音图、气管支气管镜和胸腔插管引流等检查。如检查结果阴性,可将伤员搬送至放射科进行主动脉造影和食管造影。至于何者为先,进行了本临床研究。经回顾1961例胸部枪弹伤,共发现主动脉损伤20 Shot through the mediastinum bullet wounds survived and delivered to the hospital when there are different manifestations, severe need immediate chest exploration (can not move in place in the emergency room), the prognosis is poor; stable condition for diagnostic tests Of the full time, in which the aorta and esophagus without damage can be checked by chest X-ray, phonocardiogram, tracheobronchoscopy and chest drainage. If the test result is negative, the wounded can be transported to the radiology department for aortography and esophagectomy. As for the first, conducted the clinical study. After a review of 1961 chest shots, a total of 20 aortic lesions were found