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杀伤人员地雷所致下肢损伤的治疗:柬埔寨爆炸复苏与受害者援助团队的经验

Treatment of lower extremity injuries due to antipersonnel mines: blast resuscitation and victim assistance team experiences in Cambodia.

作者信息

Parr Reagan R, Providence Bertram C, Burkhalter William E, Smith Allan C

机构信息

Orthopaedic Surgery Service, Tripler Army Medical Center, 1 Jarrett White Road, Honolulu, Hawaii 96859-5000, USA.

出版信息

Mil Med. 2003 Jul;168(7):536-40.

PMID:12901462
Abstract

The two teams comprising the fiscal year 2001 Blast Resuscitation and Victim Assistance mission had the opportunity to learn from and practice mine injury treatment principles with experienced local and international war surgeons in Cambodia. Treatment principles were modifications of International Committee of the Red Cross recommendations. A total of 14 acute lower extremity mine injuries were treated. Surgery generally consisted of an open amputation or thorough irrigation and debridement using equipment readily available in any U.S. military field hospital. The surgical techniques will be described in detail. Delayed primary closure occurred 5 days later followed by prosthesis fitting (for amputees) in an International Committee of the Red Cross facility 12 weeks later. Other options and techniques will be discussed with an emphasis on applicability to U.S. military field surgery.

摘要

2001财年爆炸伤复苏与受害者援助任务的两个团队,有机会与柬埔寨经验丰富的当地和国际战地外科医生学习并实践地雷伤治疗原则。治疗原则是对红十字国际委员会建议的修改。共治疗了14例急性下肢地雷伤。手术通常包括开放性截肢或使用任何美国军事野战医院都 readily available的设备进行彻底冲洗和清创。将详细描述手术技术。5天后进行延迟一期缝合,12周后在红十字国际委员会设施中为截肢者安装假肢。还将讨论其他选择和技术,重点是其在美国军事野战手术中的适用性。

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