Hughes Christopher D, Nash Katherine A, Alkire Blake C, McClain Craig D, Hagander Lars E, Smithers C Jason, Raymonville Maxi, Sullivan Stephen R, Riviello Robert, Rogers Selwyn O, Meara John G
Children's Hospital Boston, MA, USA.
J Health Care Poor Underserved. 2012 May;23(2):523-33. doi: 10.1353/hpu.2012.0067.
Little is known about pediatric surgical disease in resource-poor countries. This study documents the surgical care of children in central Haiti and demonstrates the influence of the 2010 earthquake on pediatric surgical delivery.
We conducted a retrospective review of operations performed at Partners in Health/Zanmi Lasante hospitals in central Haiti.
Of 2,057 operations performed prior to the earthquake, 423 were pediatric (20.6%). Congenital anomalies were the most common operative indication (159/423 operations; 33.5%). Pediatric surgical volume increased significantly after the earthquake, with 670 operations performed (23.0% post-earthquake v. 20.6% pre-earthquake, p=.03). Trauma and burns became the most common surgical diagnoses after the disaster, and operations for non-traumatic conditions decreased significantly (p<.01).
Congenital anomalies represent a significant proportion of baseline surgical need in Haiti. A natural disaster can change the nature of pediatric surgical practice by significantly increasing demand for operative trauma care for months afterward.
在资源匮乏的国家，人们对小儿外科疾病知之甚少。本研究记录了海地中部儿童的外科护理情况，并展示了2010年地震对小儿外科治疗的影响。
我们对海地中部健康伙伴组织/赞米拉桑特医院进行的手术进行了回顾性研究。
在地震前进行的2057例手术中，423例为儿科手术（20.6%）。先天性畸形是最常见的手术指征（159/423例手术；33.5%）。地震后小儿外科手术量显著增加，共进行了670例手术（地震后为23.0%，地震前为20.6%，p = 0.03）。创伤和烧伤成为灾后最常见的外科诊断，非创伤性疾病的手术显著减少（p < 0.01）。
先天性畸形在海地基线外科需求中占很大比例。自然灾害可通过在数月后显著增加对外科创伤护理的需求来改变小儿外科手术的性质。
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