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自杀式炸弹袭击致伤:耶路撒冷的特殊组织损伤经历给重建外科医生带来新挑战。

Suicide bombing injuries: the Jerusalem experience of exceptional tissue damage posing a new challenge for the reconstructive surgeon.

作者信息

Ad-El Dean D, Eldad Arie, Mintz Yoav, Berlatzky Yacov, Elami Amir, Rivkind Avraham I, Almogy Gideon, Tzur Tomer

机构信息

Department of Plastic Surgery and Burn Unit, Rabin Medical Center, Petach Tikva, Israel.

出版信息

Plast Reconstr Surg. 2006 Aug;118(2):383-7; discussion 388-9. doi: 10.1097/01.prs.0000227736.91811.c7.

Abstract

BACKGROUND

Suicide bomb injuries vary in form and magnitude. From the onset of the second Palestinian "intifada" in October of 2000 until January of 2004, 577 victims of suicide bombings were admitted to the Hadassah-Hebrew University Medical Center. A single bomber carrying a handbag or belt containing multiple metal objects and explosives carried out most of the attacks. As a result, many of the victims suffered massive tissue destruction in addition to conventional blast injuries.

METHODS

This article describes the management of this trauma-related "syndrome" of combined primary and high-magnitude secondary blast injury.

RESULTS

The management of the extensive soft-tissue damage is described and two representative cases presented.

CONCLUSION

Suicide bombing-related injuries in their present form are a true challenge for the reconstructive surgeon.

摘要

背景

自杀式炸弹袭击造成的伤害在形式和程度上各不相同。从2000年10月第二次巴勒斯坦“起义”开始到2004年1月,577名自杀式炸弹袭击受害者被送往哈达萨-希伯来大学医学中心。大多数袭击是由一名携带装有多个金属物品和炸药的手提包或腰带的自杀式炸弹袭击者实施的。因此,除了传统的爆炸伤外,许多受害者还遭受了大面积的组织破坏。

方法

本文描述了这种与创伤相关的原发性和高强度继发性爆炸伤合并“综合征”的处理方法。

结果

描述了广泛软组织损伤的处理方法,并介绍了两个典型病例。

结论

目前形式的与自杀式炸弹袭击相关的损伤对重建外科医生来说是一个真正的挑战。

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