Carroll A W, Soderstrom C A
Ann Surg. 1978 Dec;188(6):753-7. doi: 10.1097/00000658-197812000-00007.
A new, nonpenetrating ballistic injury mechanism involving individuals protected by soft body armor is described. Experimental studies using laboratory animals have demonstrated that despite stopping missile penetration, the heart, liver, spleen, and spinal cord are vulnerable to injury. The rapid jolting force of an impacting bullet is contrasted with the usually encountered mechanisms producing blunt trauma injury. The experimental methodology used to assess a 20% increase in survival probability and an 80% decrease in the need for surgical intervention with a new soft body armor is reviewed. Five cases of ballistic assaults on law enforcement personnel protected by soft body armor are presented. Four emphasize the potentially lifesaving qualities of the armor, while the fifth indicates the need for torso encircling design. Hospitalization should follow all assaults, regardless of the innocuous appearance of the skin lesion and the apparent well being on the assaulted individual. Therapeutic guidelines for patient management are suggested.
本文描述了一种涉及穿戴软质防弹衣人员的新型非穿透性弹道损伤机制。利用实验动物进行的研究表明，尽管软质防弹衣能阻止子弹穿透，但心脏、肝脏、脾脏和脊髓仍易受损伤。撞击子弹的快速冲击力与通常导致钝器伤的机制形成对比。本文回顾了用于评估一种新型软质防弹衣使生存概率提高20%以及手术干预需求降低80%的实验方法。文中列举了5起针对穿戴软质防弹衣执法人员的弹道袭击案例。其中4起案例凸显了该防弹衣潜在的救命特性，而第5起案例则表明需要采用环绕躯干的设计。无论皮肤损伤外观是否无害以及受袭者表面状况如何，所有袭击事件后均应安排住院治疗。文中还提出了患者管理的治疗指南。
