Gembitskiĭ E V, Kolomoets N M, Novozhenov V G
Klin Med (Mosk). 1996;74(2):12-6.
Within 1979-1989 the authors treated 26 wounded soldiers and officers with brain injury inflicted by mine explosion. 5 patients were in severe condition, 18 in extremely grave and 3 in critical condition. The patients had concomitant blast injuries and contusions. Pulmonary complications observed in such patients compused to DIC and respiratory distress syndromes running in the presence of marked metabolic disorders, hypoxia and intoxication. It is thought important that conservative therapy of respiratory disorders in patients with brain traumas were not constricted with correction of bronchial obstruction. The additional intensive treatment of the above syndromes is needed including extracorporeal detoxication (plasmapheresis) and hyperbaric oxygenation.
在1979年至1989年期间，作者治疗了26名因地雷爆炸而脑部受伤的士兵和军官。5名患者病情严重，18名极其危重，3名处于危急状态。患者伴有爆炸伤和挫伤。这类患者中观察到的肺部并发症包括弥散性血管内凝血和呼吸窘迫综合征，同时存在明显的代谢紊乱、缺氧和中毒。认为重要的是，脑外伤患者呼吸障碍的保守治疗不应局限于纠正支气管阻塞。需要对上述综合征进行额外的强化治疗，包括体外解毒（血浆置换）和高压氧治疗。
