Vigilance and enlightenment from diagnosis and therapy of blast injury in the "8?12"giant explosion in Tianjin harbor

Abstract

In August 12th, 2015, an especially big bang of dangerous chemical goods happened in Tianjin harbor.Through a month of in-hospital diagnosis and therapies, 73.6% (587/798) of the wounded were released after recovering from the severe explosive blast injury.The giant explosive accident taught us a wretched lesson, and supplied important alerting effects for the diagnosis and therapy of explosive blast injury in Chinese peacetime.Through an in depth analysis combined with our previous working experiences, we found the blast injury in the giant explosions showed more complicated injury factors and state of an injury.In comparison with the traditional injury pattern in blast injury, most of the blast injury expressed the symptom of both heavey inside and outside while the external injury couldn′t masking the internal injury.Owing to the complex compositions of the wounded, the treatment of blast injury is intractable due to the differential body injuries and psychological trauma.In the therapeutic patterns, it is urgent to strengthen the bundled and standardized system of explosive blast injury.Collectively, it is the key point to firmly control the explosive origin.The existing social conflict determined the explosive accidents remain difficult to be avoided.The ideal precaution diagnosis should be put ahead once explosion happens.The potential psychological trauma should be evaluated as a kind of social disease.Only when the standardized and steady social support system come true, then the harmony and win-win can be realized in the explosive disasters for the government and population. Key words: Explosion; Blast injury; Burns; Overpressure; Stress