现代战争爆炸伤特点系统评价

目的 分析现代战争中爆炸伤的发生率、致死率、类型和特点,为我军制订高效战伤救治措施及建立战伤数据库提供参考.方法 根据《系统评价和荟萃分析的优先报告条目》规范构建检索策略、文献纳入标准,对所有关于现代战争爆炸伤发生率、伤情特点、致伤机制及特殊战伤的文献进行检索.结果 最终纳入分析的文献共31篇,包括32474例爆炸伤伤...

Characteristics of blast injuries in modern warfare: a systematic review

. Object Although the weapons evolve continuously, and combat styles changed thoroughly, in the past decade, explosive trauma have still domain the combat-related injuries requiring massive medical resource. Studying the frequency, types of injuries and characteristics of blast injuries in modern warfare is of great significance to clinic guideline, specific medical supplies, and protective equipment development. Method A systematic review were performed and refers to PRISMA to construct search strategies, literature inclusion/exclusion criteria, and statistical analysis. All literatures on the incidence, characteristic, mechanism, and special injury conditions of blast injuries were retrieved. Results A total of 31 articles were included in the analysis, consisting of 32,474 blast injury casualties came from the Iraq-Afghanistan war, the Cole attack incident and combat conflict in Croatia. The prevalence of blast injury was 40%-87.4%. The incidence of head, face and neck blast injuries was 15.8% -89.5%, the trunk blast injuries were 6.7% -80%, the limb blast injuries were 45.2% -96.6%, and the blast injuries in other parts were 15.4% -70.4%. According to the analysis of different injury mechanisms, impact injuries and penetrating injuries caused by explosions in open spaces account for the main part, while burns are the main injuries caused by explosions in closed spaces such as explosions on ship. The severity of secondary explosion injury represented by penetrating injury is the highest, and a large amount of injury control and surgical resuscitation forces need to be deployed. Conclusion This study provided evidences for the battlefield rescue and technology of our military through the analysis of the characteristics of blast injury in modern warfare.