Khan M R, Mirdad T M
Department of Orthopedic Surgery, College of Medicine, King Saud University, Abha, Saudi Arabia.
Ann Saudi Med. 1997 Jul;17(4):444-6. doi: 10.5144/0256-4947.1997.444.
The objective of our study was to examine cases of musculoskeletal trauma sustained by survivors of a major road traffic accident (RTA), and evaluate their immediate management. Eighty-four RTA survivors were admitted on a single day at the Asir Central Hospital, Abha, Saudi Arabia. The Division of Orthopedics and Traumatology made an assessment of the various musculoskeletal injuries sustained by the survivors, using the Injury Severity Score (ISS) in the evaluation of their condition. Although RTAs are common in Saudi Arabia, there has been no report about one involving the mass transportation service. Of the 84 patients admitted, 41 (48.8%) had an ISS of over 16, indicating major trauma. Twenty-two of these stayed in the hospital for more than three weeks with a mean ISS of 26.36. Musculoskeletal trauma topped the list, and with neurological injuries were found to be a major contributing factor for long hospital stay. Our paper describes the primary management of the musculoskeletal injuries and suggests measures to prevent morbidity relating to these injuries.
我们研究的目的是检查一次重大道路交通事故（RTA）幸存者所遭受的肌肉骨骼创伤病例，并评估其即时处理情况。84名RTA幸存者于同一天被收治到沙特阿拉伯阿卜哈市的阿西尔中心医院。骨科学与创伤学部门对幸存者所遭受的各种肌肉骨骼损伤进行了评估，在评估他们的病情时使用了损伤严重度评分（ISS）。虽然RTA在沙特阿拉伯很常见，但尚无涉及公共交通服务事故的报告。在收治的84名患者中，41名（48.8%）的ISS超过16，表明为严重创伤。其中22名患者住院时间超过三周，平均ISS为26.36。肌肉骨骼创伤位居首位，并且发现神经损伤是住院时间长的一个主要促成因素。我们的论文描述了肌肉骨骼损伤的初步处理，并提出了预防这些损伤相关发病情况的措施。
