与冲突有关的创伤性截肢在加沙患者中的长期健康影响
Hanne Heszlein-Lossius1, Anas Ismail2, Yahya Al-Borno3
1Anaesthesia and Critical Care Research Group, Institute of Clinical Medicine, Arctic University of Norway, Tromsø, Norway.
Lancet (London, England)
|July 6, 2021
概括
在加沙遭受创伤性截肢的平民中, 建议对这些冲突创伤的幸存者进行密切的医疗跟踪.
科学领域:
- 创伤手术
- 公共卫生
- 放射学
背景情况:
- 在过去的10到15年里,
- 这些伤害对生存者的长期健康影响和严重疾病风险尚不清楚.
- 本研究侧重于创伤性截肢患者的随访结果.
研究的目的:
- 研究加沙冲突造成的创伤性截肢患者的长期健康后果.
- 在这个患者群体中发现潜在的严重疾病和并发症.
主要方法:
- 选择了患有肢体截肢创伤和可能严重疾病的患者.
- 进行诊断成像 (CT,MRI) 和实验室测试 (ESR,血清,肝/功能,病毒标志物).
- 患者在加沙的人工肢体和脊髓灰质炎中心接受康复治疗.
主要成果:
- 在接受进一步检查的94名患者中,有21%患有脂肪肝透,13%患有胸部碎片.
- 在截肢骨头 (29%) 和腹部 (6%) 中也发现了碎片.
- 观察到ESR升高 (34%),肝酶升高 (20%) 和贫血 (13%);两名患者患有2型糖尿病.
结论:
- 在创伤性截肢患者中发现了残留的碎片和显著的脂肪肝透.
- 在这个群体中脂肪肝透的原因需要进一步调查.
- 建议对受爆炸物伤害的创伤患者进行密切的医疗跟踪.
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