Grainge C, Heber M
MDHU (Derriford), Derriford Road, Plymouth PL6 8DH.
J R Army Med Corps. 2005 Jun;151(2):101-4. doi: 10.1136/jramc-151-02-08.
To examine the profile of medical morbidity and the role of the physician in modern conflict.
Retrospective survey of admission records at a British Military Field Hospital on operational duty in Southern Iraq.
62.5% of 4870 admissions to the Field Hospital in Shaibah during the first 12 months of military operations in Iraq were under the care of physicians. Of these 1531 (31.4%) were due to diarrhoea and vomiting (D&V) and 764 (15.7%) due to heat illness. The incidence of heat illness rose with ambient temperature, but soldiers were more likely to be admitted with heat illness shortly after arrival in theatre than when fully acclimatised. There was also a steady flow of admissions with a broad spectrum of medical pathology requiring the clinical skills of a general physician.
A general physician is a necessary part of the clinical team in modern conflict. The incidence of D&V and of heat illness on military operations remains high. Planners for any operation in tropical climates should take this into consideration and put preventative measures into place early.
研究现代冲突中医疗发病情况及医生的作用。
对一家在伊拉克南部执行任务的英国军事野战医院的入院记录进行回顾性调查。
在伊拉克军事行动的前12个月里，沙伊巴野战医院4870例入院病例中，62.5%由医生负责治疗。其中，1531例（31.4%）是由于腹泻和呕吐，764例（15.7%）是由于中暑。中暑发病率随环境温度升高而上升，但士兵在抵达战区后不久比完全适应环境时更容易因中暑入院。此外，还有一系列需要普通内科医生临床技能的各种医学病症的稳定入院病例流。
普通内科医生是现代冲突中临床团队的必要组成部分。军事行动中腹泻和呕吐以及中暑的发病率仍然很高。任何热带气候行动的规划者都应考虑到这一点，并尽早采取预防措施。
