Stanec Z, Skrbić S, Depina I, Hulina D, Ivrlac R, Unusić J, Montani D, Prpić I, Unusić I
Zavod za plasticno-rekonstruktivnu kirurgiju i kirurgiju dojke Klinike za kirurgiju Medicinskog fakulteta Sveucilista u Zagrebu.
Lijec Vjesn. 1993 Sep-Oct;115(9-10):283-9.
In this article, the authors emphasize that the knowledge of terminal ballistics is important for understanding of the pathophysiology of war wounds. They present their own experiences in the treatment of war wounds in 126 casualties, treated in the Institute of Plastic and Reconstructive Surgery, Department of Surgery, Clinical Hospital Center, Zagreb. About 96% of the wounded sustained extremity injuries, while head, neck and thoracoabdominal injuries appeared in a significantly smaller number of cases. War wound were divided into four main categories with regard to type of injury and extension of soft-tissue defect, thus showing the differences in primary excision and in reconstruction of the wounds; 78.6% of head and neck injuries were treated by primary or early primary reconstruction (within three to five days after the injuries have been sustained), while 45.4% of thoracoabdominal injuries were treated by a secondary closure. The greatest number of sophisticated reconstructions were used in extremity injuries (15 wound were reconstructed by local flaps, while free flaps were used in 8 cases). The authors emphasize the importance of proper primary treatment which enables an early reconstruction. This results in significantly shorter hospitalization, so that 87.5% of patients were treated within 20 days and then transferred to early rehabilitation.
在本文中，作者强调终点弹道学知识对于理解战伤病理生理学很重要。他们介绍了在萨格勒布临床医院中心外科部整形与重建外科研究所治疗126例战伤伤员的自身经验。约96%的伤员为四肢损伤，而头部、颈部和胸腹损伤的病例数明显较少。根据损伤类型和软组织缺损范围，战伤分为四大类，从而显示出一期切除和伤口重建的差异；78.6%的头颈部损伤采用一期或早期一期重建（受伤后三至五天内），而45.4%的胸腹损伤采用二期缝合。四肢损伤采用的复杂重建数量最多（15处伤口采用局部皮瓣重建，8例采用游离皮瓣）。作者强调适当的一期治疗的重要性，这有助于早期重建。这使得住院时间显著缩短，87.5%的患者在20天内得到治疗，然后转入早期康复。
