Leong M J, Edgar I, Terry M
J R Nav Med Serv. 2016;102(2):90-4.
To identify the prevalence, injury patterns and mortality of penetrating abdominal injury in patients treated at the UK Role 3 Medical Treatment Facility (MTF) in Camp Bastion, Afghanistan.
All patients with a penetrating abdominal injury were identified from the UK Joint Theatre Trauma Registry (JTTR). Demographics, predicted survival and observed mortality were compared. Sub-group analyses of UK military patients were conducted, comparing changes in survival as the campaign progressed and identifying the anatomical distribution of abdominal injuries.
Between June 2006 and June 2013, 1331 of the 8558 (16%) patients recorded on the JTTR had a penetrating abdominal injury; 393 were UK military, of whom 175 (45%) survived. 71% of UK military fatalities had the maximum New Injury Severity Score (NISS) of 75 compared to 4.6% of UK military survivors. The survival rate of UK military patients increased in the later stages of the campaign. Fatal injury in UK military patients was associated with significant vascular or hepatic injuries.
This study has defined the epidemiology of penetrating abdominal injury in a modern conflict. Continued training and further research into injury prevention and management will help to ensure that the improved outcomes observed in Afghanistan continue on future operations.
确定在阿富汗巴斯蒂安营地的英国三级医疗救治机构（MTF）接受治疗的腹部穿透伤患者的患病率、损伤模式及死亡率。
从英国联合战区创伤登记处（JTTR）中识别出所有腹部穿透伤患者。比较人口统计学数据、预测生存率和观察到的死亡率。对英国军事患者进行亚组分析，比较随着战役进展生存率的变化，并确定腹部损伤的解剖分布。
2006年6月至2013年6月期间，JTTR记录的8558例患者中有1331例（16%）发生腹部穿透伤；其中393例为英国军人，175例（45%）存活。英国军人死亡病例中71%的新损伤严重程度评分（NISS）最高为75分，而英国军人存活病例中这一比例为4.6%。英国军事患者的生存率在战役后期有所提高。英国军事患者的致命伤与严重血管或肝脏损伤有关。
本研究明确了现代冲突中腹部穿透伤的流行病学情况。持续培训以及对损伤预防和管理的进一步研究将有助于确保在阿富汗观察到的改善结果在未来行动中得以延续。
