Section of Experimental Traumatology, Department of Neuroscience, Karolinska Institutet, Biomedicum - 8B, 171 77, Stockholm, Sweden.
Section of Anesthesiology and Intensive Care, Department of Clinical Science and Education, Karolinska Institutet, Stockholm, Sweden.
Ann Biomed Eng. 2023 Dec;51(12):2762-2771. doi: 10.1007/s10439-023-03334-7. Epub 2023 Aug 2.
Behind armor blunt trauma (BABT) is a non-penetrating injury caused by the rapid deformation of body armor, by a projectile, which may in extreme circumstances cause death. The understanding of the mechanisms is still low, in relation to what is needed for safety threshold levels. Few models of graded kinetic energy transfer to the body exist. We established an experimental model for graded BABT. The cold gas cannon was air-driven, consisted of a pressure vessel, a barrel, and a pressure actuator. It required short training to operate and was constructed by standard components. It produced standardized expulsion of plastic projectiles with 65 mm and weight 58 g. Velocity correlated linearly to pressure (R 0.9602, p < 0.0001), equation Y = 6.558*X + 46.50. Maximum tested pressure was 10 bar, velocity 110 m/s and kinetic energy (E) 351 J. Crossbred male swine (n = 10) mean weight (SD) 56 ± 3 kg, were subjected to BABT, mean E (SD) 318 (61) J, to a fix point on the right lateral thorax. Pulmonary contusion was confirmed by physiological parameters pO (p < 0.05), SaO (p < 0.01), pCO (p < 0.01), etCO (p < 0.01), MPAP (p < 0.01), Cstat (p < 0.01), intrapulmonary shunt (Q's/Q't) (p < 0.05), and qualified trans-thoracic ultrasound (p < 0.0001). The consistent injury profile enabled for the addition of future experimental interventions.
背后装甲钝器伤 (BABT) 是由防弹衣的快速变形、弹丸等造成的非穿透性损伤,在极端情况下可能导致死亡。目前对于安全阈值水平的相关机制还了解甚少。几乎没有关于分级动能向身体传递的模型。我们建立了分级 BABT 的实验模型。冷气体炮是由压力容器、枪管和压力作动器组成的空气驱动设备。它操作简单,训练时间短,由标准部件构成。它可以产生标准化的 65mm 长、58g 重的塑料弹丸。速度与压力呈线性相关 (R 0.9602, p < 0.0001),方程为 Y = 6.558*X + 46.50。最大测试压力为 10 巴,速度为 110m/s,动能为 351J。杂交雄性猪(n = 10)平均体重(SD)为 56 ± 3kg,接受 BABT,平均能量(SD)为 318 (61)J,作用于右侧侧胸的固定点。生理参数 pO(p < 0.05)、SaO(p < 0.01)、pCO(p < 0.01)、etCO(p < 0.01)、MPAP(p < 0.01)、Cstat(p < 0.01)、肺内分流(Q's/Q't)(p < 0.05)和经胸超声检查(p < 0.0001)证实存在肺挫伤。一致的损伤模式为未来的实验干预提供了可能。