腹部开放性海水浸泡伤的病理生理变化与救治策略

Pathophysiology and treatment of seawater-immersed open abdominal wound

现代海战、渡海作战和登陆作战时,由于精确制导武器的使用,爆震伤合并海水浸泡是最常发生的伤情。腹部开放伤合并海水浸泡是战时和平时海上生产事故等情形发生时的急重症,伤情通常较为复杂且需要紧急救治。海水特殊的高盐、高渗且富含细菌和微生物的特性容易造成腹部开放伤后的二次损伤,救治与平时普通的腹部开放伤有很大不同。本文结合目前关于腹部开放伤合并海水浸泡的相关国内外研究,从不同角度对腹部开放性海水浸泡伤的病理生理变化和救治研究进展进行综述。

Due to the use of precision guided weapons in modern sea warfare or landing operations,blast injury followed by seawater immersion becomes the most common injury.Seawater-immersed open abdominal wound is one of acute and severe conditions in wartime and peacetime marine production accidents.The injury situation is usually complex and needs emergency treatment.Seawater is characterized by high salinity,high permeability and rich in bacteria and microorganisms,causing secondary injury after open abdominal injury frequently.In this paper,the treatment progress of seawater-immersed open abdominal wound is reviewed from different aspects.