Case Study on the Advancements in Diagnosis and Treatment Technologies for Military Personnel with Complex Explosive Injuries

Petro Bodnar
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Abstract

Case(s): A 51-year-old military personnel with severe limb injury from mortar shelling, admitted to Orthopedic Traumatology Department, Ternopil Regional Hospital, Ukraine.Conclusions: Explosive injuries typically arise from the detonation of devices such as landmines, improvised explosive devices, or grenades, causing harm through blast, fragmentation, and thermal effects. Despite a delayed presentation to medical care, the patient underwent multiple debridement procedures, including Vacuum-Assisted Closure therapy, and vascular reconstruction, leading to limb salvage. This case underscore needs for timely medical care, addressing risks of mine blasts and cold weather injuries through training.
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复杂爆炸伤军人诊断和治疗技术进展案例研究
病例:乌克兰特尔诺皮尔地区医院创伤骨科收治了一名因迫击炮炮击而肢体严重受伤的 51 岁军人:爆炸伤通常由地雷、简易爆炸装置或手榴弹等装置的爆炸引起,通过爆炸、碎片和热效应造成伤害。尽管患者就医时间较晚,但还是接受了包括真空辅助闭合疗法在内的多种清创手术和血管重建,最终保住了肢体。该病例强调了及时医疗护理的必要性,以及通过培训应对地雷爆炸和寒冷天气伤害风险的必要性。
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