Sosiukin A E, Boiarintsev V V, Budko A A, Gavrilin S V, Gaĭduk S V
Voen Med Zh. 2008 Nov;329(11):31-5, 96.
According to 7000 patient histories, wounded in armed conflicts in Northern Caucasus, for the last years, is marked a big part of wounds of mild (45.3%) and medium (31.5%) severity. Heavy and extremely heavy wounds marked conformably in 20.8 and 2.4 percents. An acute respiratory distress-syndrome is marked by 32 wounded with heavy and extremely heavy wounds, including 10--with penetrating wound of brainpan, 9--penetrating wound of bosom and tense hemopneumothorax, 11--penetrating wound of abdomen (with deflection of hollow and parenchymal organs), 2--penetrating wound of lower limbs (with firing breakup of long bones and deflections of great vessel), attended by blood loss and shock. Pneumonia was found during first 3 days after the wound by 47%, on 4-7 day--31%, during second week--13%, latter--9%. In 93% of cases pneumonia was marked in combination with traumatic shock. Radiological examining of radiological plays a conclusive account in diagnostics, and according to meanings--computerized tomography. Estimation of function of exterior breathing is also important.
根据过去几年北高加索地区武装冲突中7000例患者的病史记录，轻度（45.3%）和中度（31.5%）严重程度的伤口占很大比例。重度和极重度伤口分别占20.8%和2.4%。32例重度和极重度伤口患者出现急性呼吸窘迫综合征，其中10例为颅骨穿透伤，9例为胸部穿透伤并伴有张力性血气胸，11例为腹部穿透伤（伴有中空和实质性器官移位），2例为下肢穿透伤（伴有长骨骨折和大血管移位），均伴有失血和休克。受伤后第1个3天内47%的患者发现肺炎，第4 - 7天为31%，第二周为13%，之后为9%。93%的病例中肺炎与创伤性休克同时存在。放射学检查在诊断中起决定性作用，根据检查手段——计算机断层扫描。对外呼吸功能的评估也很重要。
