CAJ | 학술논문

在近年来恐怖袭击事件中，爆炸冲击波性腹部损伤是无辜民众遭受的一种严重且隐匿的创伤，但其确切的致伤机制及有效的诊断方案仍不确定。本文针对冲击波性腹部损伤可能的致伤机制、临床表现及诊断方案等进行综述，在查阅国内外近年来关于腹部损伤相关文献的基础上进行提炼总结。腹部的受伤程度与冲击波超压值和超压作用时间紧密相关，且小肠是最易受伤的脏器。针对腹部损伤隐匿性强的特点，影像学检查结合传统的临床观察被应用于腹部伤情的诊断。爆炸现场，对无明显外伤但有腹膜炎临床表现的伤员，均应考虑到发生冲击伤的可能性，以免漏诊贻误病情。
재근년래공포습격사건중，폭작충격파성복부손상시무고민음조수적일충엄중차은닉적창상，단기학절적치상궤제급유효적진단방안잉불학정。본문침대충격파성복부손상가능적치상궤제、림상표현급진단방안등진행종술，재사열국내외근년래관우복부손상상관문헌적기출상진행제련총결。복부적수상정도여충격파초압치화초압작용시간긴밀상관，차소장시최역수상적장기。침대복부손상은닉성강적특점，영상학검사결합전통적림상관찰피응용우복부상정적진단。폭작현장，대무명현외상단유복막염림상표현적상원，균응고필도발생충격상적가능성，이면루진이오병정。
In recent terrorist attacks,the abdominal trauma in primary blast injury for innocent people is serious and insidious,but its exact mechanism and effective diagnosis method are still uncertain. In this paper,the possible mechanism,clinical manifestations and diagnostic method of blast wave injury were reviewed through consulted the literature regarding abdominal trauma and summarized the concern papers. The degree of abdominal injuries is closely related with the blast wave overpressure value and time ,and intestine is most vulnerable. As abdominal trauma primary from blast wave is always recessive ,imaging combined with traditional clinical observation is applied to the diagnosis of the abdomen trauma. At the scene of the explosion ,the wounded with clinical manifestations of peritonitis and inapparent trauma should be taken into account of the possibility of blast injury in case of misdiagnosis.