现代战争中颅脑火器伤的救护重点  

Craniocerebral gunshot wounds in modern war, the focus of the ambulance

作　　者：卢敏[1] 牛素桃[1] 张敏丽[1] 宋敏[1] 王画鸽 喻虹[1] 

机构地区：[1]四川成都军区总医院神经外科,610083

出　　处：《健康天地（学术版）》2009年第12期25-27,共3页

摘　　要：随着各种新式武器的不断出现，武器创伤也不断出现新的特点，现代战争中大量应用高新技术，使常规武器的命中精度大为提高，同时杀伤武器也逐步做到了多元化。具有损伤范围大，伤情重，创伤性脑水肿发生快、发展重，颅内血肿发生率高，颅内感染率高、伤残率高等伤情特点，给颅脑火器伤的救护工作带来严峻的挑战。尤其是重型颅脑损伤，即格拉斯哥昏迷量表评分（GCS）3～8分者，因伤情复杂，成为颅脑火器伤救护的难点。本文分析现代战争和武器杀伤性能的致伤特点，制定从现场救治；伤情评估；颅脑火器伤的急救，以及重点护理措施等现代战争下颅脑战伤的救护重点，以帮助护理人员提高紧急救护能力和配合能力。Along with each kind of new style weapon unceasing appearance, the weapon wound also unceasingly appears the new characteristic, in the modem warfare the massive application high technology and new technology, causes the conventional weapons the hit accuracy is greatly the enhancement, simultaneously the antipersonnel weapon gradually has also achieved the multiplication. Has the damage scope to be big, the state of an injury is heavy, the wound hydro - cephalus occurs quickly, develops heavily, in the skull the haematoma formation rate is high, in skull infection percentage high, disability rate higher state of an injury characteristic, brings the stern challenge for the skull firearm wound rescue work. The heavy skull damage, namely the Glasgow stupor meter grades in particular the （GCS） for 38 minutes, because the state of an injury is complex, becomes the difficulty which the skull firearm wound rescues. This article analyzes the modem warfare and the weapon killing performance wounds the characteristic, formulates treats and cures from the scene; State of an injury appraisal; The skull firearm wound first aid, as well as modem warfares and so on key under nursing measure the skull war injuries rescue the key point, helps the nursing staff to sharpen the first aid ability and coordinate ability.

关 键 词：颅脑创伤 火器伤 救护 战争 

分 类 号：R826.62[医药卫生—临床医学]