Chaloner E J
Royal London Hospital, Whitechapel, UK.
J R Coll Surg Edinb. 1996 Dec;41(6):398-400.
Angola is one of the most heavily mined countries in the world. Despite the vast effort made to clear landmines, very few accurate figures for casualty rates are available. The town of Kuito in central Angola is surrounded by minefields left after the 22-month siege by the rebel UNITA forces. Many are in close proximity to residential areas. This retrospective audit assesses the incidence of landmine injuries in the wake of the siege, and the levels of amputation resulting from these wounds. Between January and October 1995, 94 landmine injuries occurred (60 from anti-personnel mines, 34 from anti-tank mines). Mine injuries accounted for 11.8% of the admissions to the surgical ward of Kuito hospital, but for 20.2% of the total number of operations performed. The distribution of injuries between the sexes was roughly equal (33 males: 27 females), but women required more above-knee amputations than men (16/20 versus 14/27). Mortality from anti-personnel mines was 1.7% (1/60). Seventy per cent of all lower limb amputations in Kuito are performed as a result of landmine injury (53/76). Landmines exert a severe strain on already stretched surgical services, and a significant burden of morbidity on the population of Kuito.
安哥拉是世界上地雷埋设最为密集的国家之一。尽管在清除地雷方面付出了巨大努力，但伤亡率的准确数据却非常稀少。安哥拉中部的库伊托镇被叛军安盟部队围困22个月后留下的雷区包围。许多雷区紧邻居民区。这项回顾性审计评估了围困结束后地雷伤的发生率以及这些伤口导致的截肢水平。1995年1月至10月，发生了94起地雷伤事件（60起由杀伤人员地雷所致，34起由反坦克地雷所致）。地雷伤占库伊托医院外科病房收治病例的11.8%，但占所施行手术总数的20.2%。受伤者的性别分布大致相等（男性33人：女性27人），但女性需要进行的膝上截肢手术比男性多（16/20对14/27）。杀伤人员地雷造成的死亡率为1.7%（1/60）。库伊托所有下肢截肢手术中有70%是由地雷伤导致的（53/76）。地雷给本就捉襟见肘的外科服务带来了巨大压力，给库伊托民众造成了沉重的发病负担。
