Neurosurgery Department, Xijing 986 Hospital, Fourth Military Medical University, Xi'an, 710054, China.
Research Department of Field Research Institute, Army Medical University, Chongqing, 400042, China.
Chin J Traumatol. 2023 May;26(3):125-130. doi: 10.1016/j.cjtee.2023.03.002. Epub 2023 Mar 11.
The wound mechanism, injury characteristics and treatment principles of anti-armored vehicle ammunition against armored crew in the past 20 years are summarized in this paper. Shock vibration, metal jet, depleted uranium aerosol and post armor breaking effect are the main factors for wounding armored crew. Their prominent characteristics are severe injury, high incidence of bone fracture, high rate of depleted uranium injury, and high incidence of multiple/combined injuries. During the treatment, attention must be paid on that the space of armored vehicle is limited, and the casualties should be moved outside of the cabin for comprehensive treatment. Especially, the management of depleted uranium injury and burn/inhalation injury are more important than other injuries for the armored wounds.
本文总结了过去 20 年反装甲弹药对装甲乘员的致伤机制、损伤特点和治疗原则。冲击振动、金属射流、贫铀气溶胶和破甲后效是造成装甲乘员受伤的主要因素。其突出特点是伤情严重、骨折发生率高、贫铀损伤率高、多发/复合伤发生率高。在治疗过程中,必须注意到装甲车辆的空间有限,应将伤员转移到舱外进行综合治疗。特别是,对装甲伤的管理,贫铀伤和烧伤/吸入伤的管理比其他损伤更为重要。