Hamdan T A
Basrah University Teaching Hospital, Iraq.
Injury. 1987 Jan;18(1):15-7. doi: 10.1016/0020-1383(87)90377-9.
Thirty-six injuries were missed in 35 casualties admitted to Basrah University Teaching Hospital from the Iraqi-Iranian war. The errors were made particularly in patients with severe multiple injuries. The incidence of missed injuries and the reasons for the diagnostic failures are discussed. The injuries that were overlooked mostly involved the peripheral nerves, and the factors leading to inadequate initial assessment were poor clinical routine, failure to interpret correctly the physical signs and poor use of X-ray facilities. Casualties with head injury, and those who presented with traumatic amputations, need particular care. Such patients are costly both in staff time and in investigations.
在巴士拉大学教学医院收治的35名来自两伊战争的伤员中，有36处损伤被漏诊。这些错误尤其发生在严重多发伤患者身上。本文讨论了漏诊损伤的发生率及诊断失败的原因。被忽视的损伤大多累及周围神经，导致初始评估不充分的因素包括临床常规操作欠佳、对体征的错误解读以及对X线设备的使用不当。头部受伤的伤员以及创伤性截肢患者需要特别护理。这类患者在医护人员的时间和检查方面成本都很高。
