爆炸伤的院前急救与早期救治策略

张连阳; 李阳

doi:10.16016/j.1000-5404.202006240

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爆炸伤的院前急救与早期救治策略

专家述评 | 更新时间：2026-01-09

- 爆炸伤的院前急救与早期救治策略
- Strategies for pre-hospital and early in-hospital management for explosion injuries
- 第三军医大学学报 2020年42卷第18期页码：1771-1776
- 作者机构：
  
  400042 重庆，陆军军医大学(第三军医大学)大坪医院战创伤医学中心，创伤、烧伤与复合伤国家重点实验室
- 作者简介：
  
  [ "张连阳，博士，主任医师，教授，博士研究生导师。担任中华医学会灾难医学分会副主任委员，全军灾难医学分会主任委员。主持国家科技惠民计划等10余项课题。荣获国家科技进步二等奖。以通信作者发表SCI收录论文20余篇。主要从事严重创伤急救和灾难医学方面的研究。E-mail:dpzhangly@163.com" ]
  [ "李阳，博士，副教授，E-mail：liyang360@163.com" ]
- 基金信息：
  
  军队后勤科研面上项目(CS317L015);国家军用标准项目(8WS19B021)
- DOI：10.16016/j.1000-5404.202006240
  中图分类号： R459.7; R642; R826.5
- 收稿：2020-06-28，
  
  修回：2020-07-06，
  
  纸质出版：2020-09-30
- 稿件说明：
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张连阳, 李阳. 爆炸伤的院前急救与早期救治策略[J]. 第三军医大学学报, 2020,42(18):1771-1776.

Lianyang ZHANG, Yang LI. Strategies for pre-hospital and early in-hospital management for explosion injuries[J]. Journal of Third Military Medical University, 2020, 42(18): 1771-1776.
张连阳, 李阳. 爆炸伤的院前急救与早期救治策略[J]. 第三军医大学学报, 2020,42(18):1771-1776. DOI： 10.16016/j.1000-5404.202006240.

Lianyang ZHANG, Yang LI. Strategies for pre-hospital and early in-hospital management for explosion injuries[J]. Journal of Third Military Medical University, 2020, 42(18): 1771-1776. DOI： 10.16016/j.1000-5404.202006240.

摘要

爆炸伤常见于战争、暴恐袭击和爆炸事故中，特有的多维致伤机制导致爆炸伤伤情复杂、危重，常出现批量伤员，救治难度大。医护人员常缺乏救治经验，从而导致救治不规范、效果不佳。本文介绍爆炸伤的五型分类法，以及爆炸伤院前和院内急救策略

并阐述耳、胃肠道、心、四肢、眼和脑等脏器爆炸伤的早期救治要点。

Abstract

Explosion injuries are common in wars

terrorist attacks and explosion accidents. The unique multi-dimensional mechanisms of explosion injuries result in complex and critical conditions of injuries and often causes mass casualties

which can be difficult to manage. As few health professionals have sufficient experience with explosion injuries

the management of such injuries still awaits standardization to improve the outcomes of the patients. Herein we introduce the concept of 5-type classification of blast injuries and summarize the strategies for pre-hospital management and early treatment of the patients

with elaboration of the key points in the early treatment of the injuries of the ears

gastrointestinal tract

heart

limbs

eyes and brain.

关键词

Keywords

references

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