Petricevic A, Radonic V, Ilic N, Petricevic M, Zelic Z, Ferenca J, Sapunar D
Department of Surgery, Split University Hospital, Croatia.
Isr J Med Sci. 1995 Oct;31(10):630-4.
We present our experience in the treatment of 1,300 wounded at the Rama war hospital in Bosnia and Herzegovina. Rama surgical teams performed mainly chest, abdominal and vascular operations, and other operations if the patient's life was considered to be in danger. All severely wounded patients were transported in a stable hemodynamic state to the Split University Hospital within 48 to 72 h, as the Rama hospital was primarily an evacuation facility. Owing to the well-organized first aid provided and the rapid evacuation from the combat line, all patients were operated within 3 h after injury. This, together with the excellent functioning of our blood bank were factors responsible for our good results. Among the 226 casualties operated under general anesthesia, mortality was 8.4% (19 cases). The most common causes of death were multiple injury and irreversible hemorrhagic shock.
我们介绍了在波斯尼亚和黑塞哥维那拉马战争医院治疗1300名伤员的经验。拉马外科团队主要进行胸部、腹部和血管手术，若认为患者生命垂危则进行其他手术。由于拉马医院主要是一个疏散设施，所有重伤患者均在48至72小时内以稳定的血流动力学状态被转运至斯普利特大学医院。由于提供了组织良好的急救以及从战线迅速疏散，所有患者均在受伤后3小时内接受了手术。这一点，再加上我们血库的良好运作，是取得良好治疗效果的因素。在226例接受全身麻醉手术的伤员中，死亡率为8.4%（19例）。最常见的死亡原因是多处受伤和不可逆的失血性休克。
