Neurology Service, James J. Peters Department of Veterans Affairs Medical Center, 130 West Kingsbridge Road, Bronx, NY 10468, USA.
Psychiatr Clin North Am. 2010 Dec;33(4):757-81. doi: 10.1016/j.psc.2010.08.001. Epub 2010 Oct 15.
Traumatic brain injury (TBI) has been a major cause of mortality and morbidity in the wars in Iraq and Afghanistan. Blast exposure has been the most common cause of TBI, occurring through multiple mechanisms. What is less clear is whether the primary blast wave causes brain damage through mechanisms that are distinct from those common in civilian TBI and whether multiple exposures to low-level blast can lead to long-term sequelae. Complicating TBI in soldiers is the high prevalence of posttraumatic stress disorder. At present, the relationship is unclear. Resolution of these issues will affect both treatment strategies and strategies for the protection of troops in the field.
创伤性脑损伤（TBI）一直是伊拉克和阿富汗战争中导致死亡和发病的主要原因。爆炸暴露是 TBI 的最常见原因，通过多种机制发生。不太清楚的是，原发性爆炸波是否通过与民用 TBI 中常见的机制不同的机制导致脑损伤，以及多次接触低水平爆炸是否会导致长期后遗症。士兵中创伤后应激障碍的高患病率使 TBI 更加复杂。目前，两者的关系尚不清楚。解决这些问题将影响治疗策略和战场上部队保护策略。
