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四肢血管火器伤是指由火药作动力发射或引爆的投射物(弹丸、弹片等)所致伤及四肢主要动、静脉伤,是战时常见的严重创伤。四肢血管火器伤后主要面临出血和缺血两大难题,如救治不当,轻则丢肢,重者丧命。综合分析研究四肢血管火器伤救治的相关进展,学习外军先进的救治经验,探讨其主要的影响因素,提高临床军医的救治水平,对保障打赢具有重要的现实意义。
Limbs and arms Firearm injuries are the main traumatic and venous injuries caused by the projectiles (projectiles, shrapnel, etc.) that are fired or detonated by gunpowder motive power and are common traumatic injuries in wartime. Limbs and arms after the firearm injury mainly faces two major problems of bleeding and ischemia, such as improper treatment, ranging from light limbs, severe cases of death. Comprehensive analysis of the research progress of the treatment of firearm injuries in extremities and blood vessels, learning foreign military advanced treatment experience, discuss its main influencing factors, and improve the level of clinical military medical treatment, has important practical significance for ensuring winning.