破片及冲击波复合伤特点对病程经过的影响

发布时间：2018-06-10 10:54

本文选题：高能量冲击波 + 胸部损伤　；参考：《中国临床康复》2005年06期

【摘要】：目的:破片和冲击波是爆炸性武器的主要致伤因素,探讨破片与冲击波复合伤的伤情特点及其对病程经过的影响。方法:实验于2003-11在西北地区某戈壁滩完成。山羊71只,用装药量200kg的战斗部进行静爆,观察现场至伤后18h动物的活存情况,形态学改变以及破片与冲击波复合伤伤情特点及其对病程经过的影响。结果:现场死亡48例,伤后6～18h死亡7例,死亡率为77.46%(55/71),形态学改变主要表现为躯体全身性或部分毁损,体腔破裂,肢体离断骨折,心、肺、肝、脾、肾、胃肠道等不同程度的毁损、破裂和出血。破片与冲击波复合伤的发生率为74.65%(53/71),平均每只动物有8.9处伤,多发伤、胸腹联合伤和烧伤的发生率分别为96.23%,24.53%和11.32%,死亡率为96.23%(51/53)。结论:破片与冲击波复合伤具有发生率高,伤型伤类复杂,伤情重和死亡率高等特点。易漏诊、误诊和发生内脏并发症以及处理措施不当是病程经过中影响康复的主要因素。
[Abstract]:Objective: fragment and shock wave are the main injury factors of explosive weapon. Methods: the experiment was carried out in a Gobi Desert in Northwest China in November 2003. 71 goats were detonated in the warhead of 200kg. The survival of animals, morphological changes, the characteristics of the combined injury of fragment and shock wave and its effect on the course of disease were observed from the scene to 18 hours after injury. Results: 48 cases died on the spot, 7 cases died at 618 h after injury, the mortality rate was 77.46% or 55% 71%. The main morphological changes were systemic or partial destruction of body, rupture of body cavity, fracture of limb, heart, lung, liver, spleen, kidney, heart, lung, liver, spleen and kidney. Gastrointestinal tract and other degrees of damage, rupture and bleeding. The incidence of combined injury of fragment and shock wave was 74.65% / 71g, with an average of 8.9 injuries per animal, multiple injuries, combined chest and abdomen injuries and burns were 96.23% and 11.32%, respectively. The mortality rate was 96.23% and 51 / 53%, respectively. Conclusion: the combined injury of fragment and shock wave has the characteristics of high incidence, complex injury type, serious injury and high mortality. Missed diagnosis, misdiagnosis, visceral complications and improper management are the main factors affecting rehabilitation.
【作者单位】：解放军第三军医大学大坪医院野战外科研究所四室解放军第三军医大学大坪医院野战外科研究所四室解放军第三军医大学大坪医院野战外科研究所四室解放军第三军医大学大坪医院野战外科研究所四室解放军第三军医大学大坪医院野战外科研究所四室解放军第三军医大学大坪医院野战外科研究所四室解放军第三军医大学大坪医院野战外科研究所四室解放军第三军医大学大坪医院野战外科研究所四室解放军第三军医大学大坪医院野战外科研究所四室
【基金】：军队“九五”指令性课题(96L040)~~
【分类号】：R82

【相似文献】