Dismounted Complex Blast Injuries: A Comprehensive Review of the Modern Combat Experience

被引：56

作者：

Cannon, Jeremy W. ^{[1
]}

Hofmann, Luke J. ^{[2
,4
]}

Glasgow, Sean C. ^{[8
,9
]}

Potter, Benjamin K. ^{[5
]}

Rodriguez, Carlos J. ^{[4
]}

Cancio, Leopoldo C. ^{[10
]}

Rasmussen, Todd E. ^{[6
,11
]}

Fries, C. Anton ^{[10
]}

Davis, Michael R. ^{[4
,10
]}

Jezior, James R. ^{[7
]}

Mullins, Richard J. ^{[3
]}

Elster, Eric A. ^{[4
]}

机构：

[1] Univ Penn, Dept Surg, Perelman Sch Med, Philadelphia, PA 19104 USA

[2] William Beaumont Army Med Ctr, El Paso, TX 79920 USA

[3] Oregon Hlth & Sci Univ, Portland, OR 97201 USA

[4] Uniformed Serv Univ Hlth Sci, Walter Reed Dept Surg, Dept Gen Surg, Bethesda, MD USA

[5] Uniformed Serv Univ Hlth Sci, Walter Reed Dept Surg, Dept Orthopaed, Bethesda, MD USA

[6] Uniformed Serv Univ Hlth Sci, Walter Reed Dept Surg, Dept Vasc Surg, Bethesda, MD USA

[7] Uniformed Serv Univ Hlth Sci, Walter Reed Dept Surg, Dept Urol, Bethesda, MD USA

[8] Washington Univ, Dept Surg, St Louis, MO USA

[9] USAF Ctr Sustainment Trauma & Resuscitat Skills C, St Louis, MO USA

[10] US Army Inst Surg Res, Ft Sam Houston, TX USA

[11] US Combat Casualty Care Res Program, Ft Detrick, MD USA

来源：

JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS | 2016年 / 223卷 / 04期

关键词：

IMPROVISED EXPLOSIVE DEVICES; INVASIVE FUNGAL-INFECTIONS; DAMAGE-CONTROL; EXTREMITY INJURIES; CASUALTY CARE; TRAUMA; MANAGEMENT; MILITARY; MORTALITY; RELEVANCE;

D O I：

10.1016/j.jamcollsurg.2016.07.009

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

One of the most challenging injury patterns to emerge from the recent military conflicts in Iraq and Afghanistan is the dismounted complex blast injury (DCBI), with multiple proximal amputations, pelvic fractures, and extensive perineal wounds (Fig. 1).(1-5) Lessons learned from managing patients with this pattern of injury must be captured to minimize the morbidity and mortality of those suffering similar injuries in the future. These lessons also apply to civilian patients suffering open pelvic fractures and crush injuries to the pelvis. 6 The aim of this review was to detail the diagnostic work-up and initial multidisciplinary management of DCBI patients, to describe some of the most common complications after DCBI, and to discuss future research efforts to improve the survivability and outcomes of DCBI.

引用

页码：652 / +

页数：21

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