Watters D A, Dyke T
Department of Clinical Sciences, University of Papua New Guinea, Port Moresby.
P N G Med J. 1996 Jun;39(2):121-5.
Trauma is a major health problem in Papua New Guinea. Injuries are the commonest cause of death in the productive age group of 15-44 years. Trauma is the leading cause of surgical death in Port Moresby General Hospital. The common causes of injury are road traffic accidents, domestic violence, criminal assault, tribal fights, accidents at home and at work, burns and falls. This review summarizes what has been published on the different causes of trauma in Papua New Guinea. Though much has been written little has been done to implement the recommendations made. Papua New Guinea needs a spinal unit and it needs burns units in its major hospitals. There should be better facilities for rehabilitation. Little has been done to curb tribal fighting and domestic violence. Road traffic fatalities have at least remained static in the last decade and wearing seat belts is now compulsory, but the law must be enforced. Driving after drinking alcohol must be stopped and protective roll bars or cages must be fitted to all open-back utility vehicles which carry passengers. Progress requires vision and commitment by surgeons, leaders in public health, hospital administrators and politicians.
创伤是巴布亚新几内亚的一个主要健康问题。在15至44岁的劳动年龄组中，受伤是最常见的死亡原因。创伤是莫尔斯比港总医院手术死亡的主要原因。受伤的常见原因包括道路交通事故、家庭暴力、刑事袭击、部落冲突、家庭和工作事故、烧伤和跌倒。本综述总结了巴布亚新几内亚创伤不同原因的已发表内容。尽管已经写了很多，但在落实所提建议方面做得很少。巴布亚新几内亚需要在其主要医院设立脊柱科和烧伤科。应该有更好的康复设施。在遏制部落冲突和家庭暴力方面做得很少。在过去十年中，道路交通事故死亡人数至少保持稳定，现在系安全带是强制性的，但必须执行法律。必须禁止酒后驾车，所有搭载乘客的敞篷多功能车都必须安装防护滚杠或防护笼。进步需要外科医生、公共卫生领域的领导者、医院管理人员和政治家具备远见和承诺。
