Kumar M
Reader, Department of Surgery, Armed Forces Medical College, Pune-40.
Med J Armed Forces India. 2010 Oct;66(4):309-11. doi: 10.1016/S0377-1237(10)80005-X. Epub 2011 Jul 21.
Blasts injuries are responsible for about two-thirds of the conventional combat injuries during any military operation and account for a sizeable number during terrorist activities. The pathophysiology, clinical presentation and urgency of management vary significantly in primary blast injuries. These can lead to a wide range of overt and covert injuries, making diagnosis and management difficult. The clinical picture varies from acute respiratory distress to deafness with absence of any external injuries. Such patients are best identified and dealt with by a team of health care professionals well acquainted with battle field injuries.
在任何军事行动中,爆炸伤约占传统战斗伤的三分之二,在恐怖活动中也占相当大的比例。原发性爆炸伤的病理生理学、临床表现和处理的紧迫性差异很大。这些损伤可导致广泛的显性和隐性损伤,使诊断和处理变得困难。临床表现从急性呼吸窘迫到耳聋,而体表无任何损伤。这类患者最好由熟悉战场损伤的医疗专业人员团队来识别和处理。