Dismounted Complex Blast Injury.
作者： James R Ficke , George P Nanos , Jonathan A Forsberg , Wade T Gordon , Michael T Charlton
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摘要: The severe Dismounted Complex Blast Injury (DCBI) is characterized by high-energy injuries to the bilateral lower extremities (usually proximal transfemoral amputations) and/or upper extremity involving non-dominant side), in addition open pelvic injuries, genitourinary, and abdominal trauma. Initial resuscitation multidisciplinary surgical management appear be keys survival. Definitive treatment follows general principals of wound includes decontamination through aggressive frequent debridement, hemorrhage control, viable tissue preservation, appropriate timing closure. These devastating are associated with paradoxically favorable survival rates, but higher amputation levels lead more difficult reconstructive challenges.
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