Improvised explosive devices and traumatic brain injury: the military experience in Iraq and Afghanistan
Improvised explosive devices and traumatic brain injury: the military experience in Iraq and Afghanistan
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DOI：
10.1080/10398560902878679
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发表时间：
2009-01-01
影响因子：
1.8
通讯作者：
Wallace, Duncan
中科院分区：
文献类型：
--
作者：
Wallace, Duncan
目的：目前在伊拉克和阿富汗的冲突中，经常使用简易爆炸装置，造成数千人伤亡，创伤性脑损伤尤其常见。最近的文献进行了审查，以提供信息，临床医生对这种condition.Method的管理：Medline搜索从2001-2008年，使用的术语阿富汗，爆炸伤，简易爆炸装置，伊拉克和创伤性脑损伤，是performed.Results：美国的军事经验占主导地位的文献。防弹衣的使用和其他进步提高了爆炸伤受害者的存活率。由此产生的神经精神损伤，特别是创伤性脑损伤，进行了讨论。关于创伤性脑损伤的普遍性存在争议。创伤性脑损伤的诊断，管理，与创伤后应激障碍和预后的关系进行了review.Conclusions：创伤性脑损伤已被描述为“签名伤口”，目前在伊拉克和阿富汗的冲突。虽然这个术语是非常有争议的，可能没有帮助，临床医生需要了解这种情况，以提供最好的管理。
Objective: The current conflicts in Iraq and Afghanistan have seen frequent use of improvised explosive devices resulting in thousands of casualties, with traumatic brain injuries particularly common. The recent literature is reviewed to provide information to clinicians on the management of this condition.Method: A Medline search from 2001-2008, using the terms Afghanistan, blast injury, improvised explosive devices, Iraq and traumatic brain injury, was performed.Results: The United States military experience predominates in the literature. The use of body armour and other advances has led to improved survival rates among blast injury victims. Resultant neuropsychiatric injuries, in particular traumatic brain injuries, are discussed. There is debate about the prevalence of traumatic brain injuries. The diagnosis, management, relationship with posttraumatic stress disorder and prognosis of traumatic brain injury are reviewed.Conclusions: Traumatic brain injury has been described as the 'signature wound' of the current conflicts in Iraq and Afghanistan. While this term is highly debatable and probably unhelpful, clinicians need to know about this condition to provide the best management.