Nordberg E, Hofman J
Department of International Health Care Research, Karolinska Institute, Stockholm, Sweden.
J Trop Med Hyg. 1994 Jun;97(3):138-44.
Surgical operations performed at Ombo Hospital in Western Kenya from January to December 1989 were studied and annual surgical rates were calculated based on the estimated catchment area population. The total annual rate of major surgery at this church-supported hospital was 207 operations per 100,000 people. This rate is similar to those at other East African hospitals while rates in industrialized countries are 20-35 times higher. The most common major procedures were Caesarean section, laparotomy, hernia repair and salpingectomy. The 1989 rate of minor operations at the hospital was 1286 per 100,000 people with tooth extraction, wound suture, incision and drainage, evacuation of the uterine cavity and closed reduction of fracture as the most frequent procedures. Major operations were performed exclusively by doctors while minor surgery was carried out mainly by clinical officers, nurses and other auxiliary staff.
对1989年1月至12月在肯尼亚西部奥姆博医院进行的外科手术进行了研究，并根据估计的服务区域人口计算了年度手术率。这家由教会支持的医院每年的大手术率为每10万人207例手术。这个比率与其他东非医院的比率相似，而工业化国家的比率则高出20至35倍。最常见的大手术是剖宫产、剖腹手术、疝气修补术和输卵管切除术。1989年该医院的小手术率为每10万人1286例，最常见的手术是拔牙、伤口缝合、切开引流、清宫术和骨折闭合复位术。大手术仅由医生进行，而小手术主要由临床医务人员、护士和其他辅助人员进行。
