我国放射复合伤创面处理与创伤促愈的研究历程  

Study on wound management and trauma healing of radiation combined injuries in China

作　　者：冉新泽[1] 王军平[1] 王涛[1] 王锋超[1] 程天民[1] Ran Xinze;Wang Junping;Wang Tao;Wang Fengchao;Cheng Tianmin(Institute of Combined Injury of PLA,State Key Laboratory of Trauma,Burn and Combined Injury,College of Preventive Medicine,Army Medical University(Third Military Medical University),Chongqing 400038,China)

机构地区：[1]陆军军医大学(第三军医大学)军事预防医学系全军复合伤研究所创伤、烧伤与复合伤国家重点实验室,重庆400038

出　　处：《中华损伤与修复杂志（电子版）》2023年第4期280-284,共5页Chinese Journal of Injury Repair and Wound Healing(Electronic Edition)

基　　金：军队后勤科研项目(ALJ19J002、ZLJ22J020)。

摘　　要：放射复合伤常见于战时核武器爆炸、平时核事故、贫铀武器伤害、次生伤害和恐怖伤害等情况,其伤情严重、种类复杂、救治困难,成为临床难点之一。复合伤有复合效应,因合并放射损伤因素的同时涉及伤口或创面等伤害,既不同于单纯的烧伤或创伤,也不同于单纯的急性放射病,远比单一损伤救治面广、矛盾多、难度大,必须充分吸取单一损伤的治疗经验和措施,及时能动地应用于复合伤研究。本文结合既往实验研究结果,重点总结放射损伤复合烧伤或创伤时创面处理的经验、方法与原则,创伤难以愈合的机制与促进愈合的措施,拟为此类核与辐射突发事件的应急处置提供技术储备。Radiation combined injuries(RCI)are common in situations such as nuclear explosions in wartime,nuclear accidents in peacetime,depleted uranium bomb injuries in battlefield,secondary nuclear injuries,and nuclear terrorist attacks.RCI show more severe in trauma conditions and more complicated in injury category,which are hard for treatment and become one of the clinical difficulties.Combined effects are the primary features of combined injuries,which make RCI different from single type injury.Thus,RCI are different from simple acute radiation sickness because of the traumas like skin wounds and burns,and vice versa.So the therapy for RCI would be more difficult than that of single type injury for the more contradictories during RCI treatment.Therefore,it is necessary to fully draw on the research achievements of single type injury and apply them to research combined injuries in a timely and dynamic manner.Based on previous experimental research results,this paper focuses on summarizing the experience,methods,and management principles of wound management in radiation injury combined burns or wounds,as well as the mechanism of delayed trauma healing and measurements for promoting repair.It aims to provide technical reserves for the management of such nuclear and radiation emergencies.

关 键 词：放射损伤 放射复合伤 创面处理 创伤促愈 

分 类 号：R641[医药卫生—外科学]