Shuker Sabri T
formerly from the Department of Oral and Maxillofacial Surgery, Baghdad Medical City, Baghdad, Iraq.
J Craniofac Surg. 2015 Jan;26(1):55-9. doi: 10.1097/SCS.0000000000001180.
This article aims to bring attention to unique risks and burns by thermal shell fragment craniofacial soft tissue injury. Hot shrapnel may inflict burns to major vessel walls and lead to life-threatening hemorrhaging or death, which adds a new challenge for craniofacial surgeons. Morbidity of thermal deep tissue may lead to deep tissue necrosis and infection.Thermal energy (TE) physics, biophysics, and pathophysiological effects relate directly to the amount of heat generated from shell casing detonation, which transfers to skin, deep tissue, as well as brain and leads to life-threatening burning of organs; this is different from shrapnel kinetic energy injury.The unprecedented increase in using a large range of explosives and high-heat thermobaric weapons contributes to the superfluous and unnecessary suffering caused by thermal injury wounds.Surgeons and medics should recognize that a surprising amount of TE can be found in an explosion or detonation of a steel-encased explosive, resulting in TEs ranging from 400 F up to 1000 F.
本文旨在引起人们对热壳碎片造成的颅面软组织损伤的独特风险和烧伤的关注。热弹片可能会烧伤主要血管壁，导致危及生命的出血或死亡，这给颅面外科医生带来了新的挑战。热深部组织的发病率可能导致深部组织坏死和感染。热能（TE）的物理、生物物理和病理生理效应直接与弹壳爆炸产生的热量有关，这些热量会传递到皮肤、深部组织以及大脑，导致危及生命的器官烧伤；这与弹片动能损伤不同。大量使用各种炸药和高热温压武器的前所未有的增加，导致了热损伤伤口造成的多余和不必要的痛苦。外科医生和医护人员应该认识到，在钢壳炸药的爆炸中可以发现数量惊人的热能，产生的热能范围从400华氏度到1000华氏度不等。
