颅脑战创伤机制及救治研究进展

Mechanism and treatment of blast-related traumatic brain injury

摘要:

颅脑战创伤（bTBI）是致残、致死率最高的战创伤类型。在机制方面，冲击波损伤及弹道伤是bTBI的特有损伤形式，能通过影响颅内压、空腔效应等机制造成脑组织广泛损伤。分级救治是提高bTBI救治能力，降低死亡率的有效方法。解放军总医院在bTBI治疗的信息化方面进行了多年研究，结合手术机器人、远程手术等新技术，进一步提高了bTBI的救治水平。

Abstract:

Blast-related traumatic brain injury (bTBI) is with the highest morbidity and mortality in war-related trauma. In terms of mechanism, shock wave injury and ballistic injury are unique in bTBI, which can cause extensive brain damage by increased intracranial pressure and cavity effect. Graded treatment is an effective method to improve treatment efficacy and reduce the mortality of bTBI. The PLA General Hospital focused on informatization of bTBI treatment for many years, combined with the application of new technologies such as surgical robot and remote surgery, which has made due contributions to further improving the treatment level of bTBI.