Trouwborst A, Weber B K, Dufour D
Erasmus University, Rotterdam, The Netherlands.
Injury. 1987 Mar;18(2):96-9. doi: 10.1016/0020-1383(87)90181-1.
War surgery presents conditions and problems that are radically different from those of peacetime surgery. Categorization of the injured may be necessary (triage), while a short or erratic supply of drugs, materials and personnel may exist. In this study, the hospital mortality following military action was 6.4 per cent. In the group of patients with combined thoracoabdominal injuries mortality was high. However, the inflow of this type of patient was relatively low. In 50 per cent of the cases, ketamine/benzodiazepine anaesthesia without intubation and artificial ventilation was sufficient, with the result that the use of oxygen and nitrous oxide was minimized.
战伤外科面临的情况和问题与平时外科截然不同。可能需要对伤员进行分类（伤员鉴别分类），同时药品、物资和人员的供应可能短缺或不稳定。在本研究中，军事行动后的医院死亡率为6.4%。胸腹联合伤患者组的死亡率很高。然而，这类患者的流入量相对较低。在50%的病例中，氯胺酮/苯二氮䓬类麻醉无需插管和人工通气就足够了，从而使氧气和一氧化二氮的使用降至最低。
