Received:17 January 2019,
Published:15 August 2019
移动端阅览
Jianyi KANG, Zhaoxia DUAN, Jieyuan ZHANG, et al. Application of different trauma scoring systems for evaluation of severity of blast injuries[J]. Journal of Third Military Medical University, 2019, 41(15): 1403-1406.
Jianyi KANG, Zhaoxia DUAN, Jieyuan ZHANG, et al. Application of different trauma scoring systems for evaluation of severity of blast injuries[J]. Journal of Third Military Medical University, 2019, 41(15): 1403-1406. DOI: 10.16016/j.1000-5404.201901142.
Objective
2
To assess the performance of different trauma scoring systems for evaluating the severity of blast injuries.
Methods
2
Twenty-eight rabbits were exposed to blast injuries induced by explosion in an open field. The Abbreviated Injury Scale (AIS) and Adjusted Injury of Severity Index (ASⅡ) scoring system were compared for their performance in the evaluation of the injuries.
Results
2
The distance from the explosion significantly affected the ASⅡ score (
P
<
0.001) and both the Injury Severity Score (ISS;
P
=0.046) and the Maximal Abbreviated Injury Scale score (MAIS;
P
=0.010 6) in AIS. With the increase in the distance from the explosion
ASⅡ scores showed the highest variation rate (80.0%)
followed by ISS (73.6%) and then by MAIS score (54.5%). The correlation coefficients of ASⅡ
MAIS and ISS scores with the distance from the explosion were 0.788 6 (
P
<
0.001)
0.607 2 (
P
<
0.001) and 0.566 4 (
P
=0.001 7)
respectively
suggesting that ASⅡ scores has the best correlation with the distance of explosion
followed by MAIS score and ISS score.
Conclusion
2
The ASⅡ scoring system allows effective evaluation of the condition and severity of blast injuries and is more suitable for assessing the biological effects of explosions.
王 正国 野战外科学 北京 人民卫生出版社 2010 36 128 王正国.野战外科学[M].北京:人民卫生出版社, 2010:36-128.
WANG Z G Field surgery Beijing People's Health Publishing House 2010 36 128 WANG Z G.Field surgery[M].Beijing:People's Health Publishing House, 2010:36-128.
SCOTT T E KIRKMAN E HAQUE M Primary blast lung injury-a review Br J Anaesthesia 2017 118 3 311 316 10.1093/bja/aew385 SCOTT T E, KIRKMAN E, HAQUE M, et al .Primary blast lung injury-a review[J ] .Br J Anaesthesia, 2017, 118(3):311-316.DOI:10.1093/bja/aew385.
BASS C R RAFAELS K A SALZAR R S Pulmonary injury risk assessment for short-duration blasts J Trauma 2008 65 3 604 615 10.1097/TA.0b013e3181454ab4 BASS C R, RAFAELS K A, SALZAR R S.Pulmonary injury risk assessment for short-duration blasts[J].J Trauma, 2008, 65(3):604-615.DOI:10.1097/TA.0b013e3181454ab4.
王 正国 冲击伤 北京 人民军医出版社 1983 56 77 王正国.冲击伤[M].北京:人民军医出版社, 1983:56-77.
Wang Z G Blast injury Beijing People's Military Medical Publishing House 1983 56 77 Wang Z G.Blast injury[M].Beijing:People's Military Medical Publishing House, 1983:56-77.
GENNARELLI T A WODZIN E 简明损伤定级标准2005 重庆 重庆出版社 2005 212 GENNARELLI T A, WODZIN E.简明损伤定级标准2005[M].重庆:重庆出版社, 2005:212.
GENNARELLI T A WODZIN E The abbreviated injury scale 2005 Chongqing Chongqing Publishing House 2005 212 GENNARELLI T A, WODZIN E.The abbreviated injury scale 2005[M].Chongqing:Chongqing Publishing House, 2005:212.
YELVETON J T Pathology scoring system for blast injuries J Trauma 1996 40 3 Suppl S111 S115 http://d.old.wanfangdata.com.cn/NSTLQK/10.1097-00005373-199603001-00025/ YELVETON J T.Pathology scoring system for blast injuries[J].J Trauma, 1996, 40(3 Suppl):S111-S115.
WESTROL M S DONOVAN C M KAPITANYAN R Blast physics and pathophysiology of explosive injuries Ann Emerg Med 2017 69 1 S4 S9 10.1016/j.annemergmed.2016.09.005 WESTROL M S, DONOVAN C M, KAPITANYAN R.Blast physics and pathophysiology of explosive injuries[J].Ann Emerg Med, 2017, 69(1):S4-S9.DOI:10.1016/j.annemergmed.2016.09.005.
BOUTILLIER J DECK C DE MEZZO S Lung injury risk assessment during blast exposure J Biomech 2019 86 210 217 10.1016/j.jbiomech.2019.02.011 BOUTILLIER J, DECK C, DE MEZZO S, et al .Lung injury risk assessment during blast exposure[J ] .J Biomech, 2019, 86:210-217.DOI:10.1016/j.jbiomech.2019.02.011.
王 建民 赖 西南 陈 洪 武器杀伤效应的检测与失能判定的标准与依据 野战外科通讯 2006 31 3 55 57 王建民, 赖西南, 陈洪, 等.武器杀伤效应的检测与失能判定的标准与依据[J].野战外科通讯, 2006, 31(3):55-57.
WANG J M LAI X N CHEN H Detection of biological effects of weapons and Criteria and basis for the of disability of weapon injury Mil Surg Commun 2006 31 3 55 57 WANG J M, LAI X N, CHEN H, et al .Detection of biological effects of weapons and Criteria and basis for the of disability of weapon injury[J ] .Mil Surg Commun, 2006, 31(3):55-57.
姚 远 周 继红 刘 大维 爆炸伤伤情创伤评分 创伤外科杂志 2006 8 6 533 535 10.3969/j.issn.1009-4237.2006.06.017.YAOY, 姚远, 周继红, 刘大维, 等.爆炸伤伤情创伤评分[J].创伤外科杂志, 2006, 8(6):533-535.DOI:10.3969/j.issn.1009-4237.2006.06.017.
YAO Y ZHOU J H LIU D W Trauma scorings of explosive injury J Trauma Surg 2006 8 6 533 535 10.3969/j.issn.1009-4237.2006.06.017 YAO Y, ZHOU J H, LIU D W, et al .Trauma scorings of explosive injury[J ] .J Trauma Surg, 2006, 8(6):533-535.DOI:10.3969/j.issn.1009-4237.2006.06.017.
CASSIDY J T PHILLIPS M FATOVICH D Developing a burn injury severity score (BISS):adding age and total body surface area burned to the injury severity score (ISS) improves mortality concordance Burns 2014 40 5 805 813 10.1016/j.burns.2013.10.010 CASSIDY J T, PHILLIPS M, FATOVICH D, et al .Developing a burn injury severity score (BISS):adding age and total body surface area burned to the injury severity score (ISS) improves mortality concordance[J ] .Burns, 2014, 40(5):805-813.DOI:10.1016/j.burns.2013.10.010.
单 浩洋 代 婷钰 赖 西南 基于动物实验的地面坚固工事伤亡特点研究 第三军医大学学报 2018 40 1 7 11 10.16016/j.1000-5404.201709190.SHANHY, http://aammt.tmmu.edu.cn/oa/DArticle.aspx?type=view&id=201709190 单浩洋, 代婷钰, 赖西南, 等.基于动物实验的地面坚固工事伤亡特点研究[J].第三军医大学学报, 2018, 40(1):7-11.DOI:10.16016/j.1000-5404.201709190.
SHAN H Y DAI T Y LAI X N Analysis of casualties in ground firm works based on animal experiments J Third Mil Med Univ 2018 40 1 7 11 10.16016/j.1000-5404.201709190 http://aammt.tmmu.edu.cn/oa/DArticle.aspx?type=view&id=201709190 SHAN H Y, DAI T Y, LAI X N, et al .Analysis of casualties in ground firm works based on animal experiments[J ] .J Third Mil Med Univ, 2018, 40(1):7-11.DOI:10.16016/j.1000-5404.201709190.
KLUGER Y PELEG K DANIEL-AHARONSON L The special injury pattern in terrorist bombings J Am Coll Surg 2004 199 6 875 879 10.1016/j.jamcollsurg.2004.09.003 KLUGER Y, PELEG K, DANIEL-AHARONSON L, et al .The special injury pattern in terrorist bombings[J ] .J Am Coll Surg, 2004, 199(6):875-879.DOI:10.1016/j.jamcollsurg.2004.09.003.
ELSAYED N M ATKINS J L 爆炸与冲击相关损伤 北京 人民卫生出版社 2011 8 38 ELSAYED N M, ATKINS J L.爆炸与冲击相关损伤[M].北京:人民卫生出版社, 2011:8-38.
ELSAYED N M ATKINS J L Explosions and blast-related injuries Beijing People's Medical Publishing House 2011 8 38 ELSAYED N M, ATKINS J L.Explosions and blast-related injuries[M].Beijing:People's Medical Publishing House, 2011:8-38.
AXELSSON H YELVERTON J T Chest wall velocity as a predictor of nonauditory blast injury in a complex wave environment J Trauma 1996 40 3 Suppl S31 S37 https://www.ncbi.nlm.nih.gov/pubmed/8606417 AXELSSON H, YELVERTON J T.Chest wall velocity as a predictor of nonauditory blast injury in a complex wave environment[J].J Trauma, 1996, 40(3 Suppl):S31-S37.
North Atlantic Treaty Organisation . Testmethodology for protection of vehicle occupants against anti-vehicular landmine effects: R-HFM-090 [S ] . Virginia : National Technical Information Service , 2007 : 6 - 9 . North Atlantic Treaty Organisation.Testmethodology for protection of vehicle occupants against anti-vehicular landmine effects: R-HFM-090[S].Virginia: National Technical Information Service, 2007: 6-9.
0
Views
0
下载量
0
CSCD
Publicity Resources
Related Articles
Related Author
Related Institution
京公网安备11010802024621
