Fosse E, Husum H, Giannou C
Palestine Red Crescent Society, Cairo, Egypt.
J Trauma. 1988 May;28(5):660-3. doi: 10.1097/00005373-198805000-00017.
When Syrian-backed troops attacked the city of Tripoli and the surrounding Palestinian refugee camps in November and December 1983, the authors worked in the Palestine Red Crescent Society (PRCS) Hospital in the area. The hospital was situated close to the front line of the battle at all times and the transportation of casualties was therefore short. During the first month of the battle this hospital received approximately 1,500 casualties, and 390 primary and 24 secondary operations were performed. Multiple shrapnel wounds dominated, and high-velocity missile wounds were also frequently seen. The common treatment principles for missile wounds with radical debridement and delayed primary suture, in some cases secondary suture, were followed. Exploratory surgery was carried out in cases of suspected intra-abdominal and vascular injuries. Limited resources made an efficient selection necessary. Surgery under conditions of war is extremely demanding upon resources: equipment and personnel. By leaving minor debridements and a large amount of the emergency treatment to experienced nurses, a high capacity could be maintained.
1983年11月和12月，当叙利亚支持的部队袭击的黎波里市及周边巴勒斯坦难民营时，作者们在该地区的巴勒斯坦红新月会（PRCS）医院工作。医院始终位于战斗前线附近，因此伤员的运送路程较短。在战斗的第一个月，这家医院接收了约1500名伤员，并实施了390例一期手术和24例二期手术。多处弹片伤占主导地位，高速导弹伤也很常见。遵循了对导弹伤进行彻底清创和延迟一期缝合（某些情况下为二期缝合）的常见治疗原则。对于怀疑有腹腔内和血管损伤的病例，进行了探查手术。资源有限使得进行有效选择成为必要。战争条件下的手术对资源（设备和人员）要求极高。通过将小清创术和大量急救工作留给经验丰富的护士，可以保持较高的工作能力。
