小破片伤的特点及救治研究进展  

Research progress on characteristics and treatment of small fragment injuries

作　　者：王建民[1] 

机构地区：[1]第三军医大学野战外科研究所,创伤,烧伤与复合伤国家重点实验室,重庆400038

出　　处：《实用医药杂志》2017年第12期1057-1060,共4页Practical Journal of Medicine & Pharmacy

摘　　要：现代战争中爆炸性武器的应用逐渐增多,且爆炸性武器的破片向小质量化发展,因此,小破片伤日益增多,成为现代战争战伤处理的重点与难点。小破片的致伤机制具有投射物致伤效应的一般规律性,小破片伤具有伤口与伤区多、伤口小、非贯通伤多等特点,其救治一方面要遵循火器伤救治的一般规律,同时,也要注重小破片伤本身的损伤特点。以目前的研究结果表明,非关键部位的小破片伤多以保守治疗为宜。The application of the explosive weapons has been gradually increasing in modem warfare ,and the fragments from explosive weapons have developed to the small mass-type,so that the treatment of small fragment injuries has become the focus and difficulty in modem war wounds treatment. There is the general regularity of wound mechanism between the small fragment and projectile. Small fragment injury has many characteristics,such as multiple wound and wound area,small wound, much blind tube injury,etc. On the one hand,it should be following the general rule of the treatment of gunshot wound,and also paying attention to the characteristics of the small fragment injury itself. The results of the present study show that the small fragment injuries in non-critical parts are more suitable to be subject to conservative treatment.

关 键 词：小破片伤 创伤弹道学 创伤外科学 

分 类 号：R826.1[医药卫生—临床医学]