Consultant Radiologist, Royal Naval Reserve, UK.
Br J Radiol. 2012 Dec;85(1020):1556-65. doi: 10.1259/bjr/33335273. Epub 2012 Jul 17.
With the increasing tempo of military conflicts in the last decade, much has been learnt about imaging battlefield casualties in the acute setting. Ultrasound in the form of focused abdominal sonography in trauma (FAST) has proven invaluable in emergency triage of patients for immediate surgery. Multidetector CT allows accurate determination of battlefield trauma injuries. It permits the surgeons and anaesthetists to plan their interventions more thoroughly and to be made aware of clinically occult injuries. There are common injury patterns associated with blast injury, gunshot wounds and blunt trauma. While this body of knowledge is most applicable to the battlefield, there are parallels with peacetime radiology, particularly in terrorist attacks and industrial accidents. This pictorial review is based on the experiences of a UK radiologist deployed in Afghanistan in 2010.
随着过去十年军事冲突节奏的加快,人们对急性创伤环境下的战场伤员影像学诊断有了更多的了解。超声检查中以创伤重点腹部超声检查(FAST)在对患者进行立即手术的紧急分诊中已被证明具有极大的价值。多排 CT 能准确确定战场创伤损伤。它使外科医生和麻醉师能够更全面地计划干预措施,并了解临床上隐匿性的损伤。爆炸伤、枪伤和钝器伤都有共同的损伤模式。虽然这些知识主要适用于战场,但与和平时期的放射学也有相似之处,特别是在恐怖袭击和工业事故中。本影像学综述基于 2010 年在阿富汗部署的一名英国放射科医生的经验。