Fitzpatrick-Swallow Virginia L, Kneubuehl Beat P, Schroter Robert C, Bentley Alastair J
Department of Histopathology, St Thomas' Hospital, Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom.
Am J Forensic Med Pathol. 2012 Sep;33(3):286-8. doi: 10.1097/PAF.0b013e3182558179.
Primary blast lung injury after explosions has been well described in the literature. A case of injury to the lung, after a shotgun wound to the head, similar to primary blast lung, is presented. Histological appearances of the lung revealed alveolar over distension, rupture and intra-alveolar hemorrhage. Primary blast lung injury is considered the reserve of high-order explosives; however, this case reveals similar injuries from a shotgun (low-order explosive), which has not been reported before to the best of our knowledge.
爆炸后原发性肺爆震伤在文献中已有充分描述。本文报告了1例头部遭受霰弹枪伤后出现类似于原发性肺爆震伤的肺损伤病例。肺组织学表现显示肺泡过度扩张、破裂和肺泡内出血。原发性肺爆震伤通常被认为是高爆速炸药所致；然而，据我们所知，本病例显示霰弹枪（低爆速炸药）也可导致类似损伤，此前尚无相关报道。
