Peng L H, Guo G H
Department of Burns, the First Affiliated Hospital of Nanchang University, Nanchang 330006, China.
Zhonghua Shao Shang Za Zhi. 2016 Mar;32(3):156-9. doi: 10.3760/cma.j.issn.1009-2587.2016.03.007.
In recent years, a variety of explosive weapons become increasingly common used in regional military conflicts and terrorist bomb attacks. Meanwhile, the incidence of accidental explosion also showed an increase in the industries and daily life. The lung is the most labile organ and it is used to be severely injured organ in blast injury although even no signs of external injury could be observed on chest. Blast injury can present the symptoms such as lung rupture, bleeding, edema and emphysema. Respiratory dysfunction can affect oxygen supply to organs and systemic tissue, resulting in rapid and sustained hypoxemia and high mortality rate. Blast lung injury is characterized by respiratory disturbance and hypoxia. This article summarizes the etiology, pathogenesis, pathophysiological changes, diagnosis, and treatment of blast lung injury, with a hope to provide some useful clinical information.
近年来，各种爆炸性武器在地区军事冲突和恐怖炸弹袭击中越来越普遍地被使用。与此同时，工业和日常生活中意外爆炸的发生率也呈上升趋势。肺是最易受损的器官，在爆炸伤中它曾是最常受到严重损伤的器官，尽管胸部甚至可能没有外部损伤的迹象。爆炸伤可表现为肺破裂、出血、水肿和肺气肿等症状。呼吸功能障碍会影响器官和全身组织的氧气供应，导致迅速且持续的低氧血症和高死亡率。爆震性肺损伤的特点是呼吸紊乱和缺氧。本文总结了爆震性肺损伤的病因、发病机制、病理生理变化、诊断和治疗，以期提供一些有用的临床信息。
