Nordberg E M
Br Med J (Clin Res Ed). 1984 Jul 14;289(6437):92-3. doi: 10.1136/bmj.289.6437.92.
Numbers of caesarean sections, inguinal hernia repairs, and operations for strangulated hernia performed in 1979-81 at 10 rural hospitals in eastern Africa were matched against estimated populations in the respective catchment areas. Annual rates of each operation varied considerably between hospitals, the averages being: for caesarean sections 25 per 100 000 per year; for inguinal hernia repairs 25 per 100 000 per year; and for operations for strangulated hernia four per 100 000 per year. The estimated minimum needs for these operations, based on available data for morbidity were 225, 175, and 30 per 100 000 per year, respectively. Numerous deaths and cases of permanent disability occur in remote rural villages because common conditions requiring urgent surgery are neither prevented nor properly cared for. A balanced improvement of both primary and secondary care in rural Africa is needed.
1979年至1981年期间，东非10家农村医院进行的剖腹产、腹股沟疝修补术和绞窄性疝手术数量与各自集水区的估计人口进行了匹配。每家医院每种手术的年发生率差异很大，平均为：剖腹产每年每10万人25例；腹股沟疝修补术每年每10万人25例；绞窄性疝手术每年每10万人4例。根据现有的发病率数据，这些手术的估计最低需求分别为每年每10万人225例、175例和30例。在偏远的农村村庄，由于常见的需要紧急手术的病症既没有得到预防，也没有得到妥善治疗，导致了许多死亡和永久性残疾病例。非洲农村地区的初级和二级医疗保健需要均衡改善。
