Behbehani A, Abu-Zidan F, Hasaniya N, Merei J
Department of Surgery, Mubarek Al-Kabeer Teaching Hospital, Kuwait.
Ann R Coll Surg Engl. 1994 Nov;76(6):407-11.
The war injuries of 361 patients admitted to Mubarak Al-Kabeer Teaching Hospital, during the Gulf War are reported. More abdominal and chest injuries were seen in this series in comparison with other conflicts owing to the short evacuation time. Of the injuries, 54% were caused by gunshots, 34% were fragment injuries and 5.5% were glass and stab injuries. Civilians accounted for 50% of the injured. Wound infection rate was 7%, average hospital stay was 8.8 days and hospital mortality was 5.5%. We advocate radical wound excision, exploration of penetrating wounds of neck and abdomen, and mainly conservative management of chest injuries that do not involve the mediastinum.
报告了海湾战争期间穆巴拉克·卡比尔教学医院收治的361例战争伤员情况。与其他冲突相比，由于撤离时间短，本系列病例中腹部和胸部损伤更为常见。在这些损伤中，54%由枪伤所致，34%为碎片伤，5.5%为玻璃和刺伤。平民占受伤者的50%。伤口感染率为7%，平均住院时间为8.8天，医院死亡率为5.5%。我们主张对伤口进行彻底清创，对颈部和腹部穿透伤进行探查，对于不涉及纵隔的胸部损伤主要采取保守治疗。
