Burkle F M, Newland C, Meister S J, Blood C G
Department of Surgery, University of Hawaii, John A Burns School of Medicine, Kapiolani Medical Center, Honolulu.
Ann Emerg Med. 1994 Apr;23(4):755-60. doi: 10.1016/s0196-0644(94)70311-6.
To report the type and frequency of battlefield casualties and the procedures performed to treat them.
A prospective analysis of trauma record data incorporating anatomic categories and the Revised Trauma Score.
Two military field trauma centers during the primary ground assault into Kuwait.
Four hundred two trauma admissions of coalition and enemy forces.
Forty-eight percent of casualties suffered fragmentation wounds, including 43 land mine injuries. Only 10% sustained gunshot wounds. Forty-four percent of casualties had injuries limited to the extremities; 29% had combined extremity injury and injury to another anatomic region. Extremity wounds occurred nearly twice as frequently in the lower extremities as in the upper extremities. Surgical procedures were undertaken in 164 patients, with 108 debridements for major soft tissue injuries or open fractures.
The composite casualty admitted to US Navy-Marine trauma facilities was injured by shrapnel in the lower extremity and required surgical debridement only. Soldiers with land mine injuries, as in other wars, were among those in greatest need of emergency resuscitation.
报告战场伤亡人员的类型和频率以及治疗他们所采取的程序。
对纳入解剖学分类和修订创伤评分的创伤记录数据进行前瞻性分析。
在对科威特进行首次地面攻击期间的两个军事野战创伤中心。
联军和敌军的402例创伤入院病例。
48%的伤亡人员遭受破片伤，其中包括43例地雷伤。仅有10%遭受枪伤。44%的伤亡人员损伤仅限于四肢；29%既有四肢损伤又有其他解剖区域的损伤。下肢伤口的发生频率几乎是上肢的两倍。164例患者接受了外科手术，其中108例因严重软组织损伤或开放性骨折进行了清创术。
入住美国海军陆战队创伤治疗机构的综合伤亡人员下肢受弹片伤，仅需进行外科清创术。与其他战争一样，遭受地雷伤的士兵是最需要紧急复苏的人群之一。
