Korver A J
International Department, Netherlands Red Cross.
Injury. 1993 Oct;24(9):607-9. doi: 10.1016/0020-1383(93)90124-o.
The object of this study is to describe the treatment of patients with an amputation in terms of causes and distribution of injuries, mortality and drain on surgical resources. A group of patients with war injuries, who did not undergo an amputation (1796) and a group of war-injured patients with an amputation (245) were analysed retrospectively. All these patients were treated in the hospital for Afghan war wounded of the International Committee of the Red Cross. The most common amputation was below-knee amputation (BKA). In more than 90 per cent of the patients a BKA was the result of a mine explosion. About 80 per cent of amputations of the lower limb were caused by antipersonnel mines. The upper limb amputations were mainly caused by mines or by fragments. War-injured patients with an amputation face more serious problems than non-amputated patients. Their mortality is higher, they stay longer in the hospital, the risk of infection is higher, they need more blood and they undergo more surgical interventions. The high percentage of non-combatants stresses the need to give civilians better protection against the indiscriminate use of mines.
本研究的目的是从损伤的原因和分布、死亡率以及手术资源消耗等方面描述截肢患者的治疗情况。对一组未接受截肢手术的战争伤患者（1796例）和一组接受截肢手术的战争伤患者（245例）进行了回顾性分析。所有这些患者均在红十字国际委员会阿富汗战争伤员医院接受治疗。最常见的截肢是膝下截肢（BKA）。在超过90%的患者中，BKA是地雷爆炸的结果。约80%的下肢截肢是由杀伤人员地雷造成的。上肢截肢主要由地雷或碎片所致。接受截肢手术的战争伤患者面临的问题比未截肢患者更为严重。他们的死亡率更高，住院时间更长，感染风险更高，需要更多血液，并且接受更多的手术干预。非战斗人员的高比例凸显了给予平民更好保护以防止地雷被滥用于平民的必要性。
