The wounds, the wounds

The wound mechanical damage of soft tissues, involving violation of intact skin or mucous membrane and is characterized by pain, bleeding and dehiscence. The wound is the term used to denote the act of inflicting wounds and characterizing the location, depth, the anatomy of damage (for example, wound multiple penetrating, tangent, of thoraco-abdominal etc), and the resulting violations in the body.
Classification of the Russian Academy of Sciences:
1) in the circumstances causing wounds there are operational (aseptic), random, martial; 2) the area of tissue damage - with low and high damage zone; 3) the mechanism of damage and mind offensive weapons - cut, puncture, cut, broken, bruised, crushed, bite, firearms (1-5); 4) form - linear, perforated, stellate, patchwork; 5) depending on additional hazards - bacterial contaminated, infectious, poisonous, radioactive contaminated; 6) for anatomical feature - wound soft tissues (skin, muscles) with bone injuries (open fractures), blood vessels, nerves, joints; 7) there are non-penetrating wounds and penetrating, with damage and without damage to internal organs.
types and wound healing

Wounds and injuries. Fig. 1-4. Types of wounds. Fig. 1. Incised wound. Fig. 2. Stab wound without damage to bones. Fig. 3. Firearms through the wound with bone injuries. Fig. 4. Ripped here-contused wound. Fig. 5-8. Wound healing. Fig. 5. Fresh ripped here - contused wound with loss of tissue. Fig. 6. The wound is filling with granulations. Fig. 7. The wound filled with granules; the beginning of scarring. Fig. 8. Healed wound.


Wounds in detachment large flaps of skin called scalped.
At wounds with the loss of extremities (fingers, hands, feet) talk about traumatic amputation.
For wounds of low damage zone (cut, puncture) wall RAS remain viable if the wound is large with ample damage (broken, bruised and others) wall mashed, torn with signs of necrosis at a considerable distance. Gunshot wounds tend to be large, sometimes with minor area of tissue damage.
Puncture wounds with a small area of damage to the skin or mucous membranes may be considerable depth, and in these cases, dangerous, as they have the possibility of damage to vital organs and entities, and due to introduction of infection may develop severe disease - purulent arthritis, peritonitis, General purulent infection sepsis , etc.
Bruised, torn and crush wounds are characterized not only by extensive tissue necrosis, and complex form. That, and the other creates favorable conditions for the development of infection.
If bite wounds should, in addition, special consideration the possibility of being infected with the rabies virus. Poisoned called the wounds that you have made a poisonous substance. In peacetime they arise mainly from the bites of poisonous animals, such as snakes, and in time of war is a result of getting into the wounds of scales (mustard gas, lewisite).
Aseptic wounds, ie but containing microorganisms, may be considered only surgical wounds suffered in "clean" operations. All other wounds are bacterial contaminated with germs get into them during the application of the wound (primary emissions), and in subsequent hours with leather, service, from the air, and so on (secondary pollution).
Infected called the wound, in which bacterial contamination caused the development of the pathological process (wound infections)significantly violating the course of the wound process.

The wound (vulnus) - mechanical tissue damage, accompanied by the violation of the integrity of the intercession (skin, mucous membrane) and characterized by the three cardinal symptoms - pain, bleeding and dehiscence. The concept of wound wider: it includes the idea about the act of inflicting wounds on anatomical substrate damage and the resulting violations of state of the organism as a whole. Therefore, the wound is only local component injured.