Tsao Jack W, Alphonso Aimee L, Griffin Sarah C, Yurkiewicz Ilana R, Ling Geoffrey S F
US Navy Bureau of Medicine and Surgery (JWT), Falls Church, VA; Department of Neurology (JWT, GSFL), F. Edward Hebert School of Medicine, Uniformed Services University of the Health Sciences, Bethesda; Walter Reed National Military Medical Center (ALA, SCG), Bethesda, MD; and Harvard Medical School (IRY), Boston, MA.
Neurol Clin Pract. 2013 Feb;3(1):30-38. doi: 10.1212/CPJ.0b013e318283ffa2.
The current Iraq and Afghanistan conflicts have seen the highest survival rates in US service members ever, despite staggering numbers of traumatic brain injury and limb loss cases. The improvement in survival can be attributed at least in part to advances in far-forward, rapid medical treatment, including the administration of hypertonic saline solutions and decompressive craniectomies to manage elevated intracranial pressure. After evacuation to military hospitals in the continental United States, service members who have had limb loss face extensive rehabilitation. The growing amputee population has led to a burgeoning interest in the treatment of phantom limb pain and in the development of advanced prostheses.
尽管创伤性脑损伤和肢体缺失病例数量惊人,但在当前伊拉克和阿富汗冲突中,美国军人的存活率达到了历史最高水平。存活率的提高至少部分归功于前沿快速医疗救治的进步,包括使用高渗盐溶液和实施减压颅骨切除术来控制颅内压升高。在被疏散到美国本土的军事医院后,肢体缺失的军人面临着广泛的康复治疗。截肢军人数量的不断增加引发了人们对幻肢痛治疗和先进假肢研发的浓厚兴趣。