Osinowo O A, Soyannwo O A
Department of Surgery, Royal Victoria Hospital Banjul, The Gambia.
West Afr J Med. 1996 Apr-Jun;15(2):91-6.
Over a 24-month period (January 1990 to December 1991) 337 cases of stab wounds were managed at the Royal Victoria Hospital, Banjul, The Gambia. All stabbing occurred in and around Banjul and victims were predominantly male (99.1%). Stabbed subjects were mostly involved in fights (98.2%). The mean age of the subjects was 27.6 +/- 10.5 years. 155 subjects (46%) required emergency room treatment only while 182 (54%) needed hospitalisation. Superficial lacerations predominated (94.3%) while other major complications included haemothorax/pneumothorax (2.4%), haemopericardium/pneumopericadium (0.3%), cardiac lacerations (0.6%), and haemoperitoneum (2.4%). Visceral injuries managed were: Heart lacerations (2%), Liver lacerations (1.2%), lung lacerations (2.4%), peritoneal lacerations (0.6%), gut perforation (0.6%) and pericardial complications of inadequate initial management. Anaesthetic techniques used for major procedures including Thoracotomies and Laparotomies were simple to ensure safety and assure quick post anaesthetic recovery. All patients had an uneventful recovery. In a situation of restricted medical facilities, we have recorded successful management outcomes without resorting to mandatory exploratory celiotomy and expensive diagnostic procedures.
在1990年1月至1991年12月的24个月期间，冈比亚班珠尔皇家维多利亚医院处理了337例刺伤病例。所有刺伤事件均发生在班珠尔及其周边地区，受害者主要为男性（99.1%）。被刺伤的对象大多卷入打斗（98.2%）。这些对象的平均年龄为27.6 +/- 10.5岁。155名对象（46%）仅需在急诊室接受治疗，而182名（54%）需要住院治疗。浅表撕裂伤占主导（94.3%），其他主要并发症包括血胸/气胸（2.4%）、血心包/气心包（0.3%）、心脏撕裂伤（0.6%）和血腹（2.4%）。处理的内脏损伤包括：心脏撕裂伤（2%）、肝脏撕裂伤（1.2%）、肺撕裂伤（2.4%）、腹膜撕裂伤（0.6%）、肠道穿孔（0.6%）以及初始处理不当引起的心包并发症。用于包括开胸术和剖腹术在内的 major procedures的麻醉技术简单，以确保安全并保证麻醉后快速恢复。所有患者均顺利康复。在医疗设施有限的情况下，我们记录了成功的处理结果，而无需进行强制性的剖腹探查术和昂贵的诊断程序。
