{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T15:37:34Z","timestamp":1792856254627,"version":"4.5.0"},"reference-count":55,"publisher":"Akademiai Kiado Zrt.","issue":"42","license":[{"start":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T00:00:00Z","timestamp":1792281600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2026,10,18]]},"abstract":"A mellkasi trauma a s\u00falyos s\u00e9r\u00fcltek morbidit\u00e1s\u00e1nak \u00e9s mortalit\u00e1s\u00e1nak fontos\n t\u00e9nyez\u0151je. M\u00edg az akut \u00e9letvesz\u00e9lyt okoz\u00f3 intrathoracalis s\u00e9r\u00fcl\u00e9sek ell\u00e1t\u00e1sa\n viszonylag j\u00f3l meghat\u00e1rozott, a s\u00falyos fedett mellkasfali s\u00e9r\u00fcl\u00e9seknek,\n k\u00fcl\u00f6n\u00f6sen a t\u00f6bbsz\u00f6r\u00f6s \u00e9s ablakos bordat\u00f6r\u00e9seknek a kezel\u00e9se tov\u00e1bbra is\n jelent\u0151s int\u00e9zm\u00e9nyi k\u00fcl\u00f6nbs\u00e9geket mutat. K\u00f6zlem\u00e9ny\u00fcnk c\u00e9lja a mellkasi\n traumatol\u00f3gia hazai helyzet\u00e9nek \u00e1ttekint\u00e9se, k\u00fcl\u00f6n\u00f6s tekintettel a mellkasfali\n s\u00e9r\u00fcl\u00e9sek ell\u00e1t\u00e1s\u00e1ra \u00e9s a m\u0171t\u00e9ti mellkasfali stabiliz\u00e1ci\u00f3 szerep\u00e9re. A\n bordat\u00f6r\u00e9sek seb\u00e9szi stabiliz\u00e1ci\u00f3ja (SSRF) ma m\u00e1r nem \u00f6n\u00e1ll\u00f3 technikai\n beavatkoz\u00e1sk\u00e9nt, hanem a bordat\u00f6r\u00f6tt beteg komplex, multidiszciplin\u00e1ris\n ell\u00e1t\u00e1s\u00e1nak r\u00e9szek\u00e9nt \u00e9rtelmezend\u0151. A ter\u00e1pi\u00e1s d\u00f6nt\u00e9st a s\u00e9r\u00fcl\u00e9smint\u00e1zat, a\n mellkasfali instabilit\u00e1s, a f\u00e1jdalom, a l\u00e9gz\u00e9smechanikai k\u00f6vetkezm\u00e9nyek, a\n t\u00fcd\u0151parenchyma-s\u00e9r\u00fcl\u00e9s, a beteg \u00e1ltal\u00e1nos \u00e1llapota \u00e9s a m\u0171t\u00e9t id\u0151z\u00edt\u00e9se\n egy\u00fcttesen kell, hogy meghat\u00e1rozz\u00e1k. A hazai ell\u00e1t\u00e1s fejleszt\u00e9s\u00e9nek kulcsa az\n egys\u00e9ges indik\u00e1ci\u00f3s nyelv, a protokoll\u00e1ris diagnosztika, a korai \u00fajra\u00e9rt\u00e9kel\u00e9s,\n a multimod\u00e1lis f\u00e1jdalomcsillap\u00edt\u00e1s, a fizioter\u00e1pia, a region\u00e1lis refer\u00e1l\u00e1si\n logika \u00e9s az audit\u00e1lhat\u00f3 kimenetm\u00e9r\u00e9s kialak\u00edt\u00e1sa. A megl\u00e9v\u0151 traumatol\u00f3giai,\n mellkasseb\u00e9szeti, s\u00fcrg\u0151ss\u00e9gi \u00e9s intenz\u00edv ter\u00e1pi\u00e1s tud\u00e1sb\u00e1zis megfelel\u0151 alapot\n ny\u00fajthat egy struktur\u00e1lt, hazai viszonyokhoz illeszked\u0151 mellkasi traumaell\u00e1t\u00e1si\n modell kialak\u00edt\u00e1s\u00e1hoz. Orv Hetil. 2026; 167(42): 1686\u20131692.<\/jats:p>","DOI":"10.1556\/650.2026.33708","type":"journal-article","created":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T15:08:26Z","timestamp":1792854506000},"page":"1686-1692","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":0,"title":["Mellkasi trauma Magyarorsz\u00e1gon napjainkban: \u00f6r\u00f6ks\u00e9g, a jelen helyzet \u00e9s ami el\u0151tt\u00fcnk \u00e1ll"],"prefix":"10.1556","volume":"167","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1159-4620","authenticated-orcid":true,"given":"D\u00e1vid","family":"S\u00fct\u00f6ri","sequence":"first","affiliation":[{"name":"Gy\u0151r-Moson-Sopron V\u00e1rmegyei Petz Alad\u00e1r Egyetemi Oktat\u00f3 K\u00f3rh\u00e1z, Szent Sebesty\u00e9n Mellkasseb\u00e9szeti R\u00e9szleg, \u00c9r- \u00e9s Mellkasseb\u00e9szeti Oszt\u00e1ly Gy\u0151r, Vasv\u00e1ri P\u00e1l \u00fat 2\u20134., 9024 Magyarorsz\u00e1g"},{"name":"Magyar L\u00e9giment\u0151 Nonprofit Kft. Buda\u00f6rs Magyarorsz\u00e1g"},{"name":"P\u00e9csi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Doktori Iskola P\u00e9cs Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P\u00e9ter","family":"Zsoldos","sequence":"additional","affiliation":[{"name":"Gy\u0151r-Moson-Sopron V\u00e1rmegyei Petz Alad\u00e1r Egyetemi Oktat\u00f3 K\u00f3rh\u00e1z, Szent Sebesty\u00e9n Mellkasseb\u00e9szeti R\u00e9szleg, \u00c9r- \u00e9s Mellkasseb\u00e9szeti Oszt\u00e1ly Gy\u0151r, Vasv\u00e1ri P\u00e1l \u00fat 2\u20134., 9024 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N\u00f3ra","family":"Pardavi","sequence":"additional","affiliation":[{"name":"Gy\u0151r-Moson-Sopron V\u00e1rmegyei Petz Alad\u00e1r Egyetemi Oktat\u00f3 K\u00f3rh\u00e1z, Szent Sebesty\u00e9n Mellkasseb\u00e9szeti R\u00e9szleg, \u00c9r- \u00e9s Mellkasseb\u00e9szeti Oszt\u00e1ly Gy\u0151r, Vasv\u00e1ri P\u00e1l \u00fat 2\u20134., 9024 Magyarorsz\u00e1g"},{"name":"P\u00e9csi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Doktori Iskola P\u00e9cs Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F. 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