火器伤初步抢救（Preliminary rescue of firearm wound）.docVIP

火器伤初步抢救（Preliminary rescue of firearm wound） Preliminary rescue of firearm wound [overview] Firearm wounds (firearm) refers to the injury caused by a firearm fired object hitting the human body. Firearm (firearm) refers to the force of gunpowder launch projectile weapons, such as guns, guns, bombs, grenades, mines etc.. When high speed projectiles (800m/s) hit the body, the damage mechanisms and pathological changes are characterized by diversity and complexity. 1. mechanisms of injury can be divided into 4 mechanisms: (1) direct damage: when the projectile is penetrated into the body, its front impulse can crush the tissue directly and form the primary wound tract. (2) pressure wave damage: when the projectile penetrates into the body, part of the energy is transmitted to surrounding tissues in the form of pressure wave, causing damage to peripheral tissues outside the injured channel. (3) the instantaneous cavity injury: due to its energy, in the process of movement was pressing on the surrounding tissue, temporary cavity formation than the original wound diameter by several times, the cavity pressure is negative, the number of milliseconds after peripheral tissue retraction can cause tissue tearing and dirt suction. (4) the water particle accelerates the damage: the projectile can also transfer kinetic energy to the liquid particles around the wound tract, and then spread rapidly to the surrounding area, causing more extensive damage. 2. local pathological changes can be divided into 3 areas: (1) the original wound tract is an irregular cavity, which contains some tissues, foreign bodies, blood and blood clots. (2) the contusion area: after primary injury, 2~3 days after the occurrence of tissue necrosis and inflammation obviously. After the necrotic tissue detached, the primary wound expanded into secondary wound tract. (3) oscillation zone: around the contusion area, the main cause of the blood circulation caused by the lateral force of the obstacle, congestion