[目前战争伤亡死亡率-叙事综述]
Moritz Witzenhausen, Sebastian Brill, Roland Schmidt
1Klinik für Allgemein‑, Viszeral- und Thoraxchirurgie, Bundeswehrkrankenhaus Ulm, Oberer Eselsberg 40, 89081, Ulm, Deutschland. christian.beltzer@googlemail.com.
Chirurgie (Heidelberg, Germany)
|April 23, 2024
概括
控制胸腹出血是减少现代战争中死亡人数的关键. 对创伤性脑损伤,烧伤和部伤口的及时医疗干预也对生存至关重要.
科学领域:
- 军事医学 军事医学
- 创伤外科 手术 创伤外科
- 公共卫生 公共卫生
背景情况:
- 乌克兰的冲突迫使德国武装部队对常规战争的医疗准备做出战略转变.
- 识别具有高死亡率的潜在生存伤害对于有效的医疗概念开发至关重要.
研究的目的:
- 为了识别与高初级和二级死亡率相关的战争伤害.
- 为常规战争场景提供医疗和手术适应策略的信息.
主要方法:
- 对PubMed数据库 (2001-2023) 的选择性文献综述.
- 搜索词:战争或战斗和伤害和死亡率.
- 包括报告战争伤害和相关死亡率的研究.
主要成果:
- 严重的创伤性脑损伤和胸腔腹部出血是导致初级死亡的主要原因.
- 干部,部,创伤性脑损伤和烧伤对二次死亡率有很大贡献.
- 胸腔腹部出血代表了潜在的可存活伤害的最大比例;医院前输血和快速运输减少死亡率.
结论:
- 控制胸腔腹腔出血提供了最大的潜力,以减少死亡率在现代战争.
- 创伤性脑损伤,烧伤和部损伤的有效治疗对于减少死亡人数至关重要.
- 德国武装部队的医院必须在准备工作中优先考虑这些伤害类型.
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