Abstract:

Radiation combined injuries (RCI) are common in situations such as nuclear explosions in wartime, nuclear accidents in peacetime, depleted uranium bomb injuries in battlefield, secondary nuclear injuries, and nuclear terrorist attacks. RCI show more severe in trauma conditions and more complicated in injury category, which are hard for treatment and become one of the clinical difficulties. Combined effects are the primary features of combined injuries, which make RCI different from single type injury. Thus, RCI are different from simple acute radiation sickness because of the traumas like skin wounds and burns, and vice versa. So the therapy for RCI would be more difficult than that of single type injury for the more contradictories during RCI treatment. Therefore, it is necessary to fully draw on the research achievements of single type injury and apply them to research combined injuries in a timely and dynamic manner. Based on previous experimental research results, this paper focuses on summarizing the experience, methods, and management principles of wound management in radiation injury combined burns or wounds, as well as the mechanism of delayed trauma healing and measurements for promoting repair. It aims to provide technical reserves for the management of such nuclear and radiation emergencies.

Key words: Radiation injury, Radiation combined injuries, Wound management, Trauma healing promotion