Shuker S T
J Craniomaxillofac Surg. 1995 Apr;23(2):91-8. doi: 10.1016/s1010-5182(05)80454-8.
Blast injuries cause specific lesions and occur more often than previously, because of the wide use of explosives. This is especially the case in wartime. More and more people lose their lives every day due to blast injuries. The mechanism of the injury and pathophysiology of this trauma are discussed. The clinical effects as well as management are presented. The most dramatic effects observed are fractures to the middle third of the face, reported here for the first time, with their management. New fracture lines are typically seen in fractures of the mandible due to the blast wave effects. This presentation should help in the prevention and management to save the lives of patients in future.
由于爆炸物的广泛使用，爆炸伤导致特定损伤，且发生频率比以前更高。战时情况尤其如此。每天都有越来越多的人因爆炸伤丧生。本文讨论了这种创伤的损伤机制和病理生理学。介绍了其临床影响及处理方法。首次报告了观察到的最显著影响，即面部中三分之一骨折及其处理方法。由于冲击波效应，下颌骨骨折中通常会出现新的骨折线。本报告有助于未来预防和处理此类创伤以挽救患者生命。
