Pleho A, Viso N
Institut za patofiziologiju, Medicinski fakultet, Sarajevo.
Med Arh. 1996;50(1-2):5-8.
The paper presents the research in cases of the unexpected and sudden of the patients injured by fire-arms, during the aggression on BH. On the basis of the results of the origin of injury, the period of providing medical aid, the level of tissue damage and the function disturbancy, it could be concluded that numerous factors which are typical for the state of war are included comarde to the influencing factor of injuries observed in the incidents in the times of peace. The injuries in the course of the aggression are characterized by a severe tissue damage which is frequently followed by the poison gases poisoning, the quality of the first aid given, delayed and aggravated transportation, multi-organic disbalance of the morphological structures and functions as well as an increased development of these mediators which bring about this type of disbalance. The lack of chemical diagnostic means prevents the determination of existence of the indicators of threatening deaths in the cases where there are no clinical signs for a fatal outcome. The frequency of casualties has prevented the prompt control of the biochemics and thus resulted in the increase of the number of unexpected and unclarified deaths.
该论文介绍了在波斯尼亚和黑塞哥维那遭受袭击期间，火器伤患者意外和突然情况的研究。根据损伤来源、提供医疗救助的时间、组织损伤程度和功能障碍程度的结果，可以得出结论，与和平时期事件中观察到的损伤影响因素相比，战争状态下典型的众多因素都包含在内。袭击过程中的损伤特点是组织严重受损，经常伴有毒气中毒、急救质量、运输延迟和加重、形态结构和功能的多器官失衡以及导致这种失衡的这些介质的发展增加。缺乏化学诊断手段阻碍了在没有致命结果临床迹象的情况下确定威胁生命指标的存在。伤亡频率妨碍了对生物化学的及时控制，从而导致意外和不明原因死亡人数增加。
