Katzenell Udi, Ash Nachman, Tapia Ana L, Campino Gadi A, Glassberg Elon
Trauma Branch, Medical Corps, Israel Defense Forces, Tel Hashomer, Israel.
Mil Med. 2012 Sep;177(9):1065-8. doi: 10.7205/milmed-d-12-00161.
We assessed the causes of death of military casualties in order to determine the characteristics of injury and to determine how survivability can be improved.
A retrospective review of the trauma registry of the Israel Defense Forces was conducted. The causes of death were determined. Casualties that were found alive but died later at any level of care were included.
Information about casualties that was recorded during the years 2002-2009 was reviewed. Eighty-one fatalities were included in the analysis. Fifty-one (63%) fatalities were caused by gunshot wounds. Analysis of the data regarding the cause of death revealed that 66 (81.5%) of the casualties died because of hemorrhage and 25 (30.9%) because of head trauma. Of the casualties that died of hemorrhage, 12 (18.2%) had neck or limbs potentially compressible hemorrhage. All fatalities from hemorrhage died before arriving at a medical facility.
Torso noncompressible hemorrhage was found to be the main cause of death among the casualties investigated. Potentially compressible hemorrhage and head injury are significant too. Research and development of means to treat hemorrhage and emphasis on distribution of means to stop hemorrhage and on training may improve outcome of potentially compressible hemorrhage.
我们评估了军事伤亡人员的死亡原因，以确定损伤特征，并确定如何提高生存能力。
对以色列国防军创伤登记处进行了回顾性研究。确定了死亡原因。纳入了那些被发现时还活着但在任何护理级别上后来死亡的伤亡人员。
对2002年至2009年期间记录的伤亡人员信息进行了审查。81例死亡病例纳入分析。51例（63%）死亡由枪伤所致。对死亡原因数据的分析显示，66例（81.5%）伤亡人员死于出血，25例（30.9%）死于头部创伤。在死于出血的伤亡人员中，12例（18.2%）有颈部或四肢潜在可压迫性出血。所有因出血死亡的人员均在抵达医疗机构前死亡。
在被调查的伤亡人员中，躯干不可压迫性出血被发现是主要死亡原因。潜在可压迫性出血和头部损伤也很重要。治疗出血方法的研发以及强调止血手段的分发和培训可能会改善潜在可压迫性出血的治疗结果。
