Zafar Hasnain, Rehmani Rifat, Chawla Tabish, Umer Masood
Department of Surgery, The Aga Khan University Hospital, PO Box 3500, Karachi 74800, Pakistan.
Eur J Emerg Med. 2005 Aug;12(4):163-7. doi: 10.1097/00063110-200508000-00004.
Suicidal bombing is particularly devastating and an increasingly common form of terrorist violence. In this paper, we present an epidemiologic description of the physical injuries of patients who survived the suicidal bombing attack in the context of the limited medical resources of a developing nation.
The management of individual patients was reviewed from a preprinted trauma form. Information on the nature of injuries, operative management and hospital course was recorded and data analyzed using the Trauma Registry.
Twelve survivors out of 36 bomb blast victims brought to the Aga Khan University Hospital were transferred from primary receiving hospitals. The average number of injuries per patient was eight. The mean Injury Severity Score was 10.8. The majority of patients had secondary and tertiary blast injuries. Most of the survivors had calcaneal injuries; these have not been reported in the literature in similar terrorist attacks. Twelve operative interventions were undertaken. All of the 12 patients were stabilized and evacuated within 24 h of admission.
All of the 12 patients transferred to the Aga Khan University Hospital survived. Unlike the reported injuries, calcaneal fractures were most commonly encountered in the survivors.
自杀式爆炸极具破坏性，且是恐怖暴力中日益常见的一种形式。在本文中，我们针对在一个发展中国家医疗资源有限的情况下，从自杀式爆炸袭击中幸存的患者的身体损伤进行了流行病学描述。
从预先印制的创伤表格中回顾了个体患者的治疗情况。记录了损伤性质、手术治疗及住院过程的信息，并使用创伤登记处对数据进行分析。
被送往阿迦汗大学医院的36名爆炸受害者中有12名幸存者从初级接收医院转来。每位患者的平均受伤数量为8处。平均损伤严重度评分为10.8。大多数患者有二级和三级爆炸伤。大多数幸存者有跟骨损伤；在类似恐怖袭击的文献中尚未有此类报道。进行了12次手术干预。所有12名患者在入院后24小时内病情稳定并被转移。
转至阿迦汗大学医院的12名患者全部存活。与报道的损伤情况不同，幸存者中最常出现的是跟骨骨折。
