The epidemiology of blast lung injury during recent military conflicts: a retrospective database review of cases presenting to deployed military hospitals, 2003-2009
The epidemiology of blast lung injury during recent military conflicts: a retrospective database review of cases presenting to deployed military hospitals, 2003-2009
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DOI：
10.1098/rstb.2010.0251
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发表时间：
2011-01-27
影响因子：
6.3
通讯作者：
Smith, J. E.
中科院分区：
文献类型：
--
作者：
Smith, J. E.
随着战斗的性质从常规战争转变为不对称战争和反叛乱，爆炸伤在军事冲突中越来越常见。本文介绍了一个回顾性数据库审查的情况下，从英国联合手术室创伤登记处从2003年至2009年，包含超过3000名患者的详细信息，主要是在伊拉克和阿富汗受伤。在此期间，有1678名患者因爆炸而受伤，其中113人有爆炸性肺损伤的证据。在50名幸存并到达医疗设施的病人中，80%需要急救。与其他机制造成的伤害相比，爆炸造成的伤害正在增加，爆炸肺是部署的军事环境中的一个重要临床问题。这些患者的管理应该从受伤到最终护理的角度进行优化。
Blast injuries are becoming increasingly common in military conflicts as the nature of combat changes from conventional to asymmetrical warfare and counter-insurgency. This article describes a retrospective database review of cases from the UK joint theatre trauma registry from 2003 to 2009, containing details of over 3000 patients, mainly injured in Iraq and Afghanistan. During this period, 1678 patients were injured by explosion of whom 113 had evidence of blast lung injury. Of the 50 patients who survived to reach a medical facility, 80 per cent required ventilatory support. Injuries caused by explosion are increasing when compared with those caused by other mechanisms, and blast lung represents a significant clinical problem in a deployed military setting. Management of these patients should be optimized from point of wounding to definitive care.