Qasaimeh G R, Shotar A M, Alkhail S J A, Qasaimeh M G
Department of Surgery, King Abdullah University Hospital (KAUH), Jordan University of Science and Technology, JUST, P. O Box 30300, Irbid, 22110, Jordan.
Department of General Surgery, KAUH, JUST, Irbid, Jordan.
Eur J Trauma Emerg Surg. 2017 Oct;43(5):587-594. doi: 10.1007/s00068-017-0761-2. Epub 2017 Mar 3.
This study was conducted to assess the pattern, the magnitude, the severity, the distribution, and the results of the management of the injured Syrian refugees at King Abdullah University Hospital (KAUH).
The medical records of 90 consecutive injured Syrian patients admitted to KAUH at the beginning of the Syrian conflict in 2012-2013 were reviewed. Information regarding the age, the sex, the antomical regions, the organs injured, the operations performed, the complications, and the weapons used were recorded.
Of the 90 cases, 86 (95.6%) were males and 4 (4.4%) were females. The age of patients ranged between 6 and 64 years with: 8 children (6-18) years old, 81 young adults (18-48) years old, and only 1elderly patient (64) years old. The distributions of the injuries were: 54.5% in extremities, 47.8% head and neck, 15.5% chest, and 14.4% abdomen with involvement of more than one injured region in several patients. The injuries were inflected by explosives in 49 cases, bullets in 45 cases, and both in 4 cases. The most frequently performed operations were: fractures fixations, fasciotomies, laparotomies, and craniotomies. Musculoskeletal and neurological deficits occurred in 11.1 and 8.8% of cases, respectively. The mortality rate was 2.2%. The average hospital stay was 19 days. The overall management costs were more than half million US Dollars.
Extremities and head and neck were the most injured regions. The referral from the forward centers and the procedures performed in our hospital improved the management outcomes. The management required long hospital stay and was costly.
本研究旨在评估阿卜杜拉国王大学医院（KAUH）收治的受伤叙利亚难民的损伤类型、程度、严重性、分布情况及治疗结果。
回顾了2012 - 2013年叙利亚冲突初期连续收治于KAUH的90例受伤叙利亚患者的病历。记录了患者的年龄、性别、解剖部位、受伤器官、所做的手术、并发症及使用的武器等信息。
90例患者中，86例（95.6%）为男性，4例（4.4%）为女性。患者年龄在6至64岁之间，其中8例儿童（6 - 18岁），81例年轻人（18 - 48岁），仅1例老年患者（64岁）。损伤分布情况为：54.5%在四肢，47.8%在头颈部，15.5%在胸部，14.4%在腹部，部分患者多个部位受伤。49例由爆炸物致伤，45例由子弹致伤，4例两者均有。最常进行的手术为：骨折固定术、筋膜切开术、剖腹术和开颅术。肌肉骨骼和神经功能缺损分别发生在11.1%和8.8%的病例中。死亡率为2.2%。平均住院时间为19天。总体治疗费用超过50万美元。
四肢和头颈部是受伤最严重的部位。来自前方中心的转诊及我院实施的治疗程序改善了治疗效果。治疗需要较长的住院时间且费用高昂。
