Simchen E, Sacks T
Ann Surg. 1975 Dec;182(6):754-61. doi: 10.1097/00000658-197512000-00018.
The development of infections in 420 wounded soldiers, admitted to the Hadassah University Hospital in Jerusalem between October 7, 1973 and November 31, 1973, was studied. An attempt was made to relate the development of infection to the type of injury. The overall infection rate was 22%, but varied with the type of injury. Three "risk factors" were found to be associated with infection regardless of the number of injuries: 1)penetrating abdominal wounds involving the colon; 2) fractures involving the femur; 3) burns involving more than 25% of body surface. In patients with comparable injuries, the presence of infection was found to prolong the duration of hospitalization. Pseudomonas was the most common single pathogen. There were no cases of myonecrosis (gas gangrene). Of the 8 soliders who died, 5 died with or because of infection.
对1973年10月7日至1973年11月31日期间收治于耶路撒冷哈达萨大学医院的420名受伤士兵的感染情况展开了研究。研究试图将感染的发生与损伤类型联系起来。总体感染率为22%，但因损伤类型而异。发现有三个“危险因素”与感染相关，与受伤数量无关：1）累及结肠的腹部穿透伤；2）累及股骨的骨折；3）体表面积烧伤超过25%。在伤情相当的患者中，发现感染的存在会延长住院时间。铜绿假单胞菌是最常见的单一病原体。未发生肌坏死（气性坏疽）病例。在8名死亡士兵中，5名死于感染或因感染而死亡。
