Fasol R, Irvine S, Zilla P
Department of Surgery 2, University of Vienna, Austria.
J Cardiovasc Surg (Torino). 1989 May-Jun;30(3):467-72.
During a 3 month period 94 patients, injured by anti-personnel mines on the Thailand-Cambodian border, underwent emergency surgical treatment in the ICRC (International Committee of the Red Cross) hospital in Khao-I-Dang, Thailand. As a result of difficult evacuation facilities at the border, the mean time between injury caused by an anti-personnel mine and admission to the hospital was 8.3 hours (range: 2.5 to 14 hours). However, in 14 patients a penetrating vessel injury was sustained, and these underwent surgical treatment. Peripheral vascular repair was performed in 10 patients. The vessels involved in these reconstructions were: popliteal artery: 4, femoral artery: 2, anterior tibial artery: 3, femoral vein: 1. Vascular repair of the iliac artery and vein was performed in 1 patient. Limb amputation had to be performed in 3 patients, due to the long duration of tourniquet application in these cases. In the field conditions at Khao-I-Dang hospital many surgical facilities normally present in Western hospitals were unavailable. However, our series shows that satisfactory results could be obtained, despite adverse working conditions.
在3个月的时间里，94名在泰国-柬埔寨边境被杀伤人员地雷炸伤的患者在泰国考艾当的红十字国际委员会医院接受了紧急外科治疗。由于边境地区疏散设施困难，从被杀伤人员地雷炸伤到入院的平均时间为8.3小时（范围：2.5至14小时）。然而，有14名患者发生了穿透性血管损伤，并接受了手术治疗。10名患者进行了外周血管修复。这些重建手术涉及的血管有：腘动脉：4例，股动脉：2例，胫前动脉：3例，股静脉：1例。1例患者进行了髂动脉和静脉的血管修复。由于这些病例中止血带使用时间过长，3名患者不得不进行截肢手术。在考艾当医院的现场条件下，西方医院通常具备的许多外科设施都无法使用。然而，我们的系列研究表明，尽管工作条件不利，但仍可获得满意的结果。
