摘要
爆炸伤是爆炸产生的高速碎片、原发冲击波等直接作用于机体造成的损伤,多见于战争、高压锅炉、液化气罐或化学物品贮罐爆炸等,具有突发性、成批性、伤情复杂、多变性等特点。胸部是爆炸最常见的损伤部位之一,肺是爆炸伤作用的重要靶器官,表现外轻内重、程度重、较隐匿、伤情发展迅速。本文综述肺爆炸伤的损伤机制、流行病学分型、临床表现、影像学检查,重点阐述肺爆炸伤院内早期救治策略。
Explosion injury is caused by high-speed fragments and primary shock wave produced by explosion,which directly acts on the body.Explosion injury is often seen in the explosion of war,high-pressure boiler,liquefied gas tank or chemical storage tank,etc.It has the characteristics of sudden,batch,complex and changeable injury.Chest injury is one of the most common injuries caused by explosion,especially severe and concealed lung injury,which shows light external but heavy internal,and the injury develops rapidly.In this paper,the mechanism,epidemiological classification,clinical manifestations,imaging examinations of pulmonary explosive injury were introduced in detail,and the early treatment strategy of pulmonary explosive injury in hospital was emphasized.
作者
易云峰
Yi Yunfeng(Department of Cardiothoracic Surgery,the 909th Hospital of PLA,Xiamen University Affiliated Southeast Hospital,Zhangzhou 363000,China)
出处
《中华胸心血管外科杂志》
CSCD
北大核心
2020年第1期54-58,共5页
Chinese Journal of Thoracic and Cardiovascular Surgery
基金
全军后勤科研项目(CWH17J030、CNJ14C007)。
