Defense and Veterans Brain Injury Center, Walter Reed Army Medical Center, Washington, DC 20307, USA.
Ann N Y Acad Sci. 2010 Oct;1208:38-45. doi: 10.1111/j.1749-6632.2010.05696.x.
Traumatic brain injury, especially mild traumatic brain injury, is a common consequence of modern warfare. In the current conflicts in Iraq and Afghanistan, much attention has been devoted to blast as a "new" mechanism of brain injury. While the evidence for primary blast effects upon the central nervous system is limited and controversial, there are a number of aspects of blast-induced brain injury that may be different. These include high rates of sensory impairment, pain issues, and polytrauma. In addition, the emotional context in which the injury occurred must also be considered in understanding the clinical presentation of these patients. Successful treatment of these individuals must use a multidisciplinary approach focused on the varied conditions that occur in those injured.
颅脑创伤，尤其是轻度颅脑创伤，是现代战争的常见后果。在当前的伊拉克和阿富汗冲突中，人们高度关注爆炸作为一种“新”的颅脑损伤机制。虽然关于原发性爆炸效应对中枢神经系统的影响的证据有限且存在争议，但爆炸引起的颅脑损伤有许多方面可能不同。其中包括高比例的感觉障碍、疼痛问题和多发伤。此外，还必须从发生损伤的情绪背景来考虑，以了解这些患者的临床表现。对这些患者的成功治疗必须采用多学科方法，重点关注受伤者所出现的各种情况。
