Maqsood Rasikh, Rasikh Alia, Abbasi Tariq, Shukr Irfan
J Ayub Med Coll Abbottabad. 2015 Oct-Dec;27(4):858-60.
As a front line state in war against terror, Pakistan has been a victim of terrorism, for the last many years & Baluchistan has been the hub of all such terror activities. The objective of this study was to determine the incidence and type of injuries in mass casualties in terrorist activities in Baluchistan.
The study was done by the review of the record of all patients of terrorist attacks who were admitted in Combined Military Hospital (CMH) Quetta from 27th Aug 2012 to 31st Jul 2015. The final injuries sustained by the victims were documented in the patient charts after repeated examination. The data was collected from these patient charts. Data was analysed using SPSS-21. Frequency & percentages of different injuries was calculated to determine the injury pattern.
A total of 3034 patients reported to the hospital (n-3034), 2228 were admitted (73.4%). Out of the injured, 1720 (56.69%) were patients of multi system trauma, whereas 1314 (43.3%) had a single site injury. Out of these 537 patients had fractures of long bones (17.6%), those with head & spinal injuries with neurological deficit were 455 (14.9%), 266 had abdominal injuries requiring surgical intervention (8.7%), 75 (2.47%) had thoracic injuries were whereas 25 (0.82%) were vascular injuries, requiring emergent limb saving surgeries. Sex ratio was M/F=5.7: 1 Mean hospital stay was 6.31 days.
Majority of the injured had multisystem injuries; therefore the hospital should have a well-trained multi-disciplinary team of surgeons. In addition to general surgery, the subspecialties' should include orthopaedics, vascular, thoracic and neurosurgery.
作为反恐战争的前沿阵地，巴基斯坦在过去多年一直是恐怖主义的受害者，而俾路支省一直是所有此类恐怖活动的中心。本研究的目的是确定俾路支省恐怖活动中大规模伤亡的受伤发生率和类型。
本研究通过回顾2012年8月27日至2015年7月31日在奎达联合军事医院收治的所有恐怖袭击患者的记录进行。受害者最终的受伤情况在反复检查后记录在病历中。数据从这些病历中收集。使用SPSS-21进行数据分析。计算不同损伤的频率和百分比以确定损伤模式。
共有3034名患者到医院就诊（n = 3034），2228名患者入院（73.4%）。在受伤者中，1720名（56.69%）是多系统创伤患者，而1314名（43.3%）有单一部位损伤。其中537名患者有长骨骨折（17.6%），有头部和脊髓损伤并伴有神经功能缺损的患者有455名（14.9%），266名有需要手术干预的腹部损伤（8.7%），75名（2.47%）有胸部损伤，而25名（0.82%）是血管损伤，需要紧急进行保肢手术。男女比例为M/F = 5.7:1，平均住院天数为6.31天。
大多数伤者有多系统损伤；因此，医院应拥有一支训练有素的多学科外科医生团队。除普通外科外，亚专业应包括骨科、血管外科、胸外科和神经外科。
