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截肢特征因军种而异。

Amputation characteristics vary by branch of service.

作者信息

Krueger Chad A, Ficke James R, Wenke Joseph C

机构信息

Brooke Army Medical Center, Fort Sam Houston, Texas.

出版信息

J Surg Orthop Adv. 2014 Summer;23(2):57-63. doi: 10.3113/jsoa.2014.0057.

Abstract

This study examines the amputees from the Army and Marine Corps, the two military branches that have sustained the majority of combat-related amputations. All U.S. service members who sustained major extremity amputations from October 2001 through July 2011 were analyzed. Amputation levels, demographics, and mounted or dismounted status at injury were examined. There were 835 Army and 344 Marine amputees; 52.9% of all Marine amputees occurred during 2010 and 2011. Over 50% of Marine and 44% of Army amputees sustaining an amputation during 2010 and 2011 sustained multiple amputations. Dismounted service members had significantly (p < .0001) higher Injury Severity Scores and were significantly more likely to sustain double (p = .0082) and triple (p < .0001) amputations than mounted personnel. Marine amputees were significantly (p < .0001) more likely to be dismounted than Army amputees. The number of multiple amputees increased substantially in 2010 and 2011. Marine amputees, particularly dismounted, are at an increased risk of sustaining multiple amputations.

摘要

本研究调查了陆军和海军陆战队的截肢者,这两个军种承受了大部分与战斗相关的截肢情况。对2001年10月至2011年7月期间遭受主要肢体截肢的所有美国现役军人进行了分析。研究了截肢水平、人口统计学特征以及受伤时的乘车或下车状态。有835名陆军截肢者和344名海军陆战队截肢者;所有海军陆战队截肢者中有52.9%发生在2010年和2011年。在2010年和2011年期间遭受截肢的海军陆战队截肢者中有超过50%以及陆军截肢者中有44%为多处截肢。下车的现役军人的损伤严重度评分显著更高(p <.0001),并且与乘车人员相比,他们遭受双侧截肢(p =.0082)和三肢截肢(p <.0001)的可能性显著更高。海军陆战队截肢者比陆军截肢者更有可能下车(p <.0001)。2010年和2011年多处截肢者的数量大幅增加。海军陆战队截肢者,尤其是下车的截肢者,遭受多处截肢的风险增加。

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