El Hajj Abdallah Yasmeen, Beveridge Julie, Chan Ming, Deeb Taha, Mowafi Hani, Al-Nuaimi Saleem, Easa Abdulkader Saed, Saqqur Maher
Faculty of Pharmacy and Pharmaceutical Sciences (YEHA) and Divisions of Surgery (JB), Physical Medicine & Rehabilitation (MC), Psychiatry (SA-N), and Neurology (ASE), Department of Medicine, University of Alberta; Anatomical Acupuncture (TD), Physical Therapist, Adam Physio and Sports Clinic Ltd, Edmonton, Canada; Department of Emergency Medicine (HM), Yale University School of Medicine, New Haven, CT; and Neuroscience Institute (MS), Hamad General Hospital, Doha, Qatar.
Neurol Clin Pract. 2019 Feb;9(1):9-15. doi: 10.1212/CPJ.0000000000000556.
Since 2011, hundreds of thousands of Syrians have been displaced and injured due to the ongoing Syrian civil war. In this study, we report the prevalence of neurologic injuries in a major rehabilitation center on the Turkish-Syrian border where death and injury tolls continue to rise.
Based on several on-site visits from 2013 to 2016, medical practitioners collected data from patients in the major rehabilitation center on the border of Turkey and Syria. The clinical data, which included the type and cause of injury, laterality, paralysis, areas injured, and treatment offered, were analyzed.
A total of 230 patients were identified as having sustained a neurologic injury, 221/230 (96.1%) male and 9/230 (3.91%) female, ranging from ages 2-52 years. A total of 305 total injuries were documented over the course of a 4-year analysis due to several patients having multiple injuries. Gunshot wounds were the dominant mechanism of injury in 125/230 (54.3%) patients. Patients more frequently sustained single injuries 152/230 (66.1%) than multiple injuries 78/230 (33.9%). Peripheral nerve injuries were the most prevalent injuries, at 92.5% of all neurologic injuries (282/305), specifically injury to the radial nerve, at 19.1% (54/282) of peripheral injuries. Patients with spinal cord injuries made up 20/230 (8.7%) of all patients, with thoracic spine injuries composing 50% (10/20). Traumatic brain injuries were the least prevalent, 3/230 (1.3%), with an equal distribution of subtypes.
This study and critical analysis of the devastation in Syria suggests the desperate need for emergency aid.
自2011年以来，由于叙利亚内战持续不断，数十万人流离失所并受伤。在本研究中，我们报告了土耳其-叙利亚边境一家主要康复中心的神经损伤患病率，该地区的伤亡人数仍在不断上升。
基于2013年至2016年的多次实地考察，医生收集了土耳其和叙利亚边境主要康复中心患者的数据。对临床数据进行了分析，包括损伤类型和原因、损伤侧别、瘫痪情况、损伤部位以及所提供的治疗。
共确定230例患者遭受神经损伤，其中男性221例/230例（96.1%），女性9例/230例（3.91%），年龄在2至52岁之间。在为期4年的分析过程中，由于部分患者有多处损伤，共记录到305处损伤。枪伤是125例/230例（54.3%）患者的主要致伤机制。患者单发损伤更为常见，为152例/230例（66.1%），多发损伤为78例/230例（33.9%）。周围神经损伤最为普遍，占所有神经损伤的92.5%（282例/305例），其中桡神经损伤占周围损伤的19.1%（54例/282例）。脊髓损伤患者占所有患者的20例/230例（8.7%），其中胸椎损伤占50%（10例/20例）。创伤性脑损伤最为少见，为3例/230例（1.3%），各亚型分布均等。
这项关于叙利亚破坏情况的研究和批判性分析表明，迫切需要紧急援助。
