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中华诊断学电子杂志 ›› 2016, Vol. 04 ›› Issue (01) : 13 -18. doi: 10.3877/cma.j.issn.2095-655X.2016.01.005

所属专题: 文献

爆炸冲击伤诊治研究

爆炸冲击致失能性脑损伤的诊治原则与思考
高洁1, 王永堂1, 刘媛1, 王莉1, 伍亚民1, 赖西南1, 蒋建新1, 杨策1,()   
  1. 1. 400042 重庆,第三军医大学大坪医院野战外科研究所 创伤烧伤与复合伤国家重点实验室
  • 收稿日期:2015-12-16 出版日期:2016-02-26
  • 通信作者: 杨策
  • 基金资助:
    全军"十二五"项目(15QNP063); 全军"十二五"重大项目(AWS11J008,AWS14C003); 国家"973"课题(2012CB518102)

The diagnostic and therapeutic principle of explosive blast induced disabling brain injury and its thinking

Jie Gao1, Yongtang Wang1, Yuan Liu1, Li Wang1, Yamin Wu1, Xinan Lai1, Jianxin Jiang1, Ce Yang1,()   

  1. 1. State Key Laboratory of Trauma, Burns and Combined Injury, Institute of Surgery Research, Daping Hospital, Third Military Medical University, Changjiang Zhilu, Daping, Chongqing 400042, China
  • Received:2015-12-16 Published:2016-02-26
  • Corresponding author: Ce Yang
  • About author:
    Corresponding author: Yang Ce, Email:
引用本文:

高洁, 王永堂, 刘媛, 王莉, 伍亚民, 赖西南, 蒋建新, 杨策. 爆炸冲击致失能性脑损伤的诊治原则与思考[J]. 中华诊断学电子杂志, 2016, 04(01): 13-18.

Jie Gao, Yongtang Wang, Yuan Liu, Li Wang, Yamin Wu, Xinan Lai, Jianxin Jiang, Ce Yang. The diagnostic and therapeutic principle of explosive blast induced disabling brain injury and its thinking[J]. Chinese Journal of Diagnostics(Electronic Edition), 2016, 04(01): 13-18.

爆炸事件越来越频繁,以无临床指征和影像学表现为特点的失能性脑损伤患者是主要群体,但一直缺乏关注。笔者基于轻度创伤性脑损伤、创伤后应激障碍、慢性创伤性脑病,系统回顾了国内外关于失能性脑损伤的伤情特点、诊断、措施以及特殊环境下爆炸伤的救治难点和最新诊治前景。强调早诊治、早防护以及及时地心理干预,为诊治和防护爆炸冲击伤后亲历者的脑损伤提供有益启示。

The explosive accidents happened frequently.Patients with disabling brain injury constitute the main population which is paid little attention.Based on the current researches about mild traumatic brain injury, post traumatic stress disorder (PTSD) and chronic traumatic encephalopathy, the blast mechanism, pathophysiology, diagnosis, medical treatment, difficulties and the future progress are systematically reviewed.The early diagnosis, early prevention and first-aid psychological intervention are emphasized for the brain health of the population suffering from exposure of explosive blast injury.

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