de Wind C M
Mengo Hospital, Kampala, Uganda.
Ann R Coll Surg Engl. 1987 Sep;69(5):193-5.
Due to political instability in many Third World countries doctors in simply equipped rural hospitals are sometimes confronted with war injuries. In those situations sending patients to specialized centres is often impossible. We studied a series of 100 consecutive patients with missile injuries treated during 1982/3 in an Ugandan mission hospital. Out of these 87 were available for sufficient follow-up, 11 disappeared before completing the treatment, and two died. The results are reported. It is concluded that many cases of missile injuries, except the most serious thoraco-abdominal lesions and major neurovascular problems, can be managed satisfactorily in rural hospitals with basic facilities only, provided sound surgical principles are observed, particularly wound treatment in two stages.
由于许多第三世界国家的政治不稳定，设备简陋的农村医院的医生有时会面临战争创伤。在这种情况下，将患者送往专科中心往往是不可能的。我们研究了1982/1983年在乌干达一家教会医院连续治疗的100例导弹伤患者。其中87例得到了充分的随访，11例在完成治疗前失踪，2例死亡。现将结果报告如下。得出的结论是，许多导弹伤病例，除了最严重的胸腹损伤和主要的神经血管问题外，只要遵循合理的外科原则，特别是分两阶段进行伤口处理，仅在具备基本设施的农村医院就可以得到满意的治疗。
