Schwab R, Güsgen C, Hentsch S, Kollig E
Abteilung für Allgemein-, Viszeral- und Thoraxchirurgie, Bundeswehrzentralkrankenhaus , Rübenacherstr. 170, 56072 Koblenz, Deutschland.
Chirurg. 2007 Oct;78(10):902-9. doi: 10.1007/s00104-007-1409-2.
Bomb attacks on the civilian population are one of the primary instruments of global terrorism. Confronted as we are with the increasingly real threat in Europe too, we now have to be constantly prepared for the mass casualties and new injury patterns in trauma care that are caused by terrorist bombings. This is extraordinarily challenging, on both medical and logistical levels, for the hospitals involved. In this review the basic mechanisms of blast injuries are clarified. In addition, the fundamental principles of triage and the management of multiple trauma are presented; these are oriented on ATLS (advanced trauma life support) and DCS (damage control surgery) guidelines. These treatment concepts, which have proved their worth in both military and civilian environments, involve ongoing triage and constant situational assessment and are the basis of improved treatment results in the care of multiply traumatized victims of terrorist bombings.
对平民的炸弹袭击是全球恐怖主义的主要手段之一。鉴于欧洲也面临着日益真实的此类威胁，我们现在必须时刻为恐怖主义爆炸造成的大量伤亡以及创伤护理中出现的新损伤模式做好准备。这对相关医院在医疗和后勤层面都极具挑战性。在本综述中，明确了爆炸伤的基本机制。此外，还介绍了分诊和多发伤管理的基本原则；这些原则以高级创伤生命支持（ATLS）和损伤控制手术（DCS）指南为导向。这些在军事和民用环境中都已证明其价值的治疗理念，包括持续分诊和不断的情况评估，是改善恐怖主义爆炸造成的多发伤受害者治疗效果的基础。
