肺爆震伤研究进展  

Advances in the research of blast lung injury

作　　者：彭凌华[1] 郭光华[1] 

机构地区：[1]南昌大学第一附属医院烧伤科,330006

出　　处：《中华烧伤杂志》2016年第3期156-159,共4页Chinese Journal of Burns

基　　金：国家自然科学基金（30960400）;江西省科技支撑计划（2010BSA10300）

摘　　要：现代局部战争和恐怖爆炸袭击事件中爆炸性武器（炸药、核弹、燃料空气炸弹等）的使用不断增加，日常突发事件如锅炉、燃用液化石油气及煤层气等爆炸也时常发生。这些爆炸产生强大的冲击波超压，对机体造成的损伤称为原发冲击伤或爆震伤。In recent years, a variety of explosive weap- ons become increasingly common used in regional military conflicts and terrorist bomb attacks. Meanwhile, the incidence of accidental explosion also showed an increase in the industries and daily life. The lung is the most labile organ and it is used to be severely injured organ in blast injury although even no signs of external injury could be observed on chest. Blast injury can present the symptoms such as lung rupture, bleeding, edema and emphysema. Respiratory dysfunction can affect oxygen sup- ply to organs and systemic tissue, resulting in rapid and sus- tained hypoxemia and high mortality rate. Blast lung injury is characterized by respiratory disturbance and hypoxia. This article summarizes the etiology, pathogenesis, pathophysiological changes, diagnosis, and treatment of blast lung injury, with a hope to provide some useful clinical information.

关 键 词：肺 爆震伤 高频通气 间质干细胞 

分 类 号：R655[医药卫生—外科学]