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[腹部战伤]

[Abdominal war injuries].

作者信息

Cuk V, Atanasijević T, Petrović M, Stanković N

机构信息

Vojnomedicinska akademija, Klinika za opstu i vaskularnu hirurgiju, Beograd.

出版信息

Vojnosanit Pregl. 1994 Sep-Oct;51(5):376-80.

PMID:8560855
Abstract

In the period of July 1, 1991-December 31, 1992, 4292 wounded were treated in the Military Medical Academy (MMA) in Belgrade. Out of 410 (9.6%) wounded with abdominal war injuries, 156 (38%) received the primary treatment in MMA and the remainder in other hospitals. One fifth of the wounded with abdominal injuries suffered combined injuries of more organs and 82.7% of the cases had multiple injuries of one organ or combined injury of two or more abdominal organs. Wounding caused by explosive devices prevailed (61.5%), and the most frequently injured organs were small intestine in 40% and colon in 30.7% of the cases. Reoperation due to complications was performed in 7% of the wounded primarily managed in MMA and 33.8% of there primarily managed in other hospitals. Total mortality due to the abdominal war injuries was 10.9%, while mortality in patients primarily managed in MMA amounted to 4.5% compared to 14.9% of those operated on in other hospitals.

摘要

1991年7月1日至1992年12月31日期间,贝尔格莱德军事医学院(MMA)共治疗了4292名伤员。在410名(9.6%)腹部战伤伤员中,156名(38%)在MMA接受了初步治疗,其余在其他医院接受治疗。五分之一的腹部受伤伤员合并有多个器官损伤,82.7%的病例为单一器官多处损伤或两个或更多腹部器官的合并损伤。爆炸装置造成的创伤最为常见(61.5%),最常受伤的器官是小肠(40%)和结肠(30.7%)。在MMA接受初步治疗的伤员中,7%因并发症进行了再次手术,在其他医院接受初步治疗的伤员中这一比例为33.8%。腹部战伤导致的总死亡率为10.9%,在MMA接受初步治疗的患者死亡率为4.5%,而在其他医院接受手术的患者死亡率为14.9%。

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