A profile of combat injury
A profile of combat injury
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DOI：
10.1097/01.ta.0000057151.02906.27
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发表时间：
2003-05-01
影响因子：
--
通讯作者：
Leppaniemi, A
中科院分区：
文献类型：
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作者：
Champion, HR;Bellamy, RF;Leppaniemi, A
创伤性战斗伤害在流行病学、受伤机制、受伤后的病理生理轨迹和结果方面与平民环境中遇到的伤害不同。除了一些值得注意的例外之外，战斗伤害的数据来源历来都是不足的。尽管死亡的病理生理过程在民用和军事领域都是相同的（即以失血和中枢神经系统损伤为主），但战斗创伤在急性复苏方面有独特的考虑，包括（1）致伤剂的高能量和高杀伤力； （二）多种原因造成伤害的； (3)以穿透伤为主； (4) 战术环境中威胁的持续存在； （五）环境严峻、资源紧张； (5) 延迟获得最终护理。认识到这些差异有助于将重点放在战斗环境的复苏研究上，并有助于促进基础研究和过渡研究方面更大的军民合作。
Traumatic combat injuries differ from those encountered in the civilian setting in terms of epidemiology, mechanism of wounding, pathophysiologic trajectory after injury, and outcome. Except for a few notable exceptions, data sources for combat injuries have historically been inadequate. Although the pathophysiologic process of dying is the same (i.e., dominated by exsanguination and central nervous system injury) in both the civilian and military arenas, combat trauma has unique considerations with regard to acute resuscitation, including (1) the high energy and high lethality of wounding agents; (2) multiple causes of wounding; (3) preponderance of penetrating injury; (4) persistence of threat in tactical settings; (5) austere, resource-constrained environment; and (5) delayed access to definitive care. Recognition of these differences can help bring focus to resuscitation research for combat settings and can serve to foster greater civilian-military collaboration in both basic and transitional research.