批量爆炸伤伤情分析与外科救治经验  

Analysis of injuries and experience in surgically treating batches of casualties injured in an explosion

作　　者：徐丰瀛 陈娟 刘海燕 刘猛 王额尔敦 Xu Fengying;Chen Juan;Liu Haiyan;Liu Meng;Wang Eerdun(Department of Anesthesiology,No.971 Hospital of Navy,Qingdao 266071,China)

机构地区：[1]海军第九七一医院麻醉科,青岛266071

出　　处：《中华航海医学与高气压医学杂志》2024年第6期823-827,共5页Chinese Journal of Nautical Medicine and Hyperbaric Medicine

基　　金：军队卫勤保障能力创新与生成专项计划(21WQ019);山东省自然科学基金(ZR2023QH086);青岛市市南区科技局科技计划项目(2022-2-017-YY)。

摘　　要：目的军用爆炸物导致的爆炸伤在非战争时期较罕见,医护人员缺乏实际救治经验。笔者分析批量爆炸伤伤员的伤情和救治难点,为实战中伤情处置提供参考。方法回顾性分析一起杀伤弹爆炸致批量伤员的伤情状况和外科救治措施。结果19名伤员中重伤3人(15.8%),轻伤16人(84.2%);转运的14名伤员中13人(92.9%)为复合伤;发生弹片伤的13名伤员中7人(53.8%)为多部位伤,弹片伤主要集中在胸背部(34.6%)和下肢(30.8%);转运伤员中有13人接受外科治疗,其中爆炸伤相关颅脑损伤和胸部损伤的救治较为困难。结论高效组织下的外科手术是爆炸伤的主要治疗措施,部队医院应在救治流程、人员配置、技术要点等方面做好充分的准备。Objective As explosion injuries caused by military explosives are rare in peacetime,medical personnel lack practical treatment experience.The analysis of injuries in batches of casualties injured in an explosion and difficulties in treatment can provide reference for the treatment of injuries in real combat.Methods A retrospective analysis was made on the injuries and medical treatment of batches of casualties caused by an anti-personnel bomb explosion.Results Among the casualties,3(15.8%)were severely injured,16(84.2%)were lightly injured,and 13(92.9%)of the medical evacuated casualties suffered from complex injuries.Among the casualties with shrapnel injuries,7(53.8%)had multiple injuries,with the injuries mainly in the chest and back(34.6%)and lower limbs(30.8%).Thirteen of the evacuated wounded received surgical treatment,among them,the treatment of explosion-related craniocerebral injuries and chest injuries was difficult.Conclusion Surgical operation under efficient organization is crucial for the rescue of explosion injury.Military hospitals should be fully prepared in the treatment processes,staffing,and technical key points.

关 键 词：爆炸伤 批量伤员 军队医院 

分 类 号：R642[医药卫生—外科学]