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| 腹部开放性海水浸泡伤损伤控制性手术救治策略 |
| 张天帅1,刘兆辰2,彭智颖1,温镕博1,贾航1,张卫1*,于冠宇1 |
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(1. 海军军医大学(第二军医大学)第一附属医院肛肠外科, 上海 200433;
2. 海军军医大学(第二军医大学)第一附属医院医务处, 上海 200433
*通信作者) |
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| 摘要: |
| 随着军事武器的发展，高威力精确制导炸弹导致的腹部炸伤成为海战伤高发伤情。同时，该伤情在海战环境下极易复合海水浸泡伤，形成腹部开放性海水浸泡伤。本文分析了腹部开放性海水浸泡伤损伤机制、伤情特点以及救治难点，依据损伤控制性手术理念，提出针对此种伤情的“两部分、三阶段”损伤控制性手术救治策略，对每一阶段的救治要点进行阐述，并对该救治策略的未来应用进行展望。 |
| 关键词: 腹部开放性损伤 海水浸泡伤 损伤控制性手术 救治策略 |
| DOI：10.16781/j.CN31-2187/R.20230014 |
| 投稿时间：2023-01-16修订日期：2023-09-20 |
| 基金项目:海军军医大学（第二军医大学）第一附属医院“深蓝 123”军事医学研究专项（2020YSL005）. |
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| Damage controlled surgery for seawater-immersed opened abdominal injury: treatment strategy |
| ZHANG Tianshuai1,LIU Zhaochen2,PENG Zhiying1,WEN Rongbo1,JIA Hang1,ZHANG Wei1*,YU Guanyu1 |
(1. Department of Colorectal Surgery, The First Affiliated Hospital of Naval Medical University (Second Military Medical University), Shanghai 200433, China;
2. Medical Affair Office, The First Affiliated Hospital of Naval Medical University (Second Military Medical University), Shanghai 200433, China
*Corresponding author) |
| Abstract: |
| With the development of military weapons, abdominal injury caused by high-powered precision-guided bombs has become the most common injury in naval combat. Meanwhile, it often combines with seawater immersion injury in the naval combat environment, causing seawater-immersed opened abdominal injury. This paper analyzes the injury mechanism, characteristics, and treatment difficulties of seawater-immersed opened abdominal injury and proposes a “two-part, three-stage” damage-control surgical treatment strategy based on the concept of damage control surgery for this type of injury. The key points of each stage of the treatment, as well as the future application of this treatment strategy, are also introduced. |
| Key words: opened abdominal injury seawater immersion injury damage control surgery treatment strategy |
