一起土制炸弹伤员的伤情特点及其治疗  

Wound Characteristics and Treatment of Wounded Personnels in an Accident of Indigenous Bomb Explosion

作　　者：马在松[1] 史振满[1] 张春浩[1] 张宝东[1] 

机构地区：[1]兰州军区乌鲁木齐总医院全军骨科中心

出　　处：《西北国防医学杂志》1998年第4期19-21,共3页Medical Journal of National Defending Forces in Northwest China

摘　　要：：目的：分析一起土制炸弹爆炸伤员的伤情特点及其急救和后期治疗方法。方法：收治一批（２２例）下肢炸伤伤员，探索其伤情特点和处理方法。结果：２例炸伤严重、合并失血性休克及消化道应激性溃疡大出血者分别于伤后１２ｈ和７０ｈ死亡，其余病人均顺利治愈出院。结论：成批伤员到来时应做好分类工作，分轻重缓急安排治疗，四肢盲管和贯通伤道内的金属异物可延期或在病房中取出。Purpose: To analyse the wound characteristics of wounded personnels and to probe their treatment methods at emergency and late stage. in accident of indigenous bomb explosion. Methods: 22 wounded personnels in batches with lower extremities exploded were recepted and treated. Results: Two cases of severe explosive wound complicated with hemorrhagic shock and massive hemorrhage due to stress ulcer died on 12 and 70 hours after injury separately. Other wounded were all cured smoothly. Conclusion: when wounded personnels in batches have set in, it is important to classify and treat them according to their seriousness and urgency of injuries. Metal foreign bodies in tracts of blindgut or penetration wound may be removed at the postponement or in the ward.

关 键 词：爆炸伤 开放性骨折 盲管伤 贯通伤 应激性溃疡 

分 类 号：R826.5[医药卫生—临床医学]