复杂的下战斗创伤的周术管理
Nataliya V Matolinets1, Oleg S Kovtuniak, Oleg O Samchuk
1From the Danylo Halytsky Lviv National Medical University (N.V.M.); First Lviv Territorial Medical Union (O.S.K., O.O.S., H.I.H.), Lviv, Ukraine; Westchester Medical Center (I.N.), New York Medical College, Valhalla, New York; and Division of Trauma and Acute Care Surgery, Department of Surgery (J.B.H.), University of Alabama-Birmingham, Birmingham, Alabama.
The journal of trauma and acute care surgery
|June 30, 2025
概括
美国和乌克兰的外科医生合作,为战斗伤害提供免费的关节手术. 虽然结果与美国标准相似,但乌克兰的住院时间更长,伤口并发症更多,这凸显了持续国际医疗交流的必要性.
科学领域:
- 重建性手术是一种重建性手术.
- 全球健康 全球健康
- 创伤护理 创伤护理
背景情况:
- "面对面"倡议促进了美国和乌克兰 (UA) 医疗专业人员之间的合作,以应对因战斗伤害而不断增长的医疗服务需求.
- 这种合作旨在改善乌克兰的治疗和康复结果,优化资源利用,提高工作人员的资格.
研究的目的:
- 评估在乌克兰国际外科培训合作期间进行的自由骨手术的结果.
- 为了比较乌克兰患者与美国已建立的基准标准之间的手术结果,包括并发症和停留时间.
主要方法:
- 从2022年到2024年对乌克兰利沃夫的一个机构的医疗记录进行了回顾性审查.
- 纳入标准:接受了免费骨皮手术的患者,并具有完整的医疗记录.
- 收集的数据包括患者人口统计,手术技术,手术时间,停留时间和并发症.
主要成果:
- 进行了18次自由关节门手术 (6次在任务期间,12次独立).
- 所有患者都是男性,平均年龄为34.5岁. 平均手术时间为595分钟,中位数的术后住院时间为25天.
- 在61.1%的病例中发生了急性伤口并发症,包括27.8%的感染,其中一个病例导致了片损失. 没有出血瘤;注意到一个唾液排水的情况.
结论:
- 乌克兰的免费关节手术结果与美国的结果相似,但急性伤口并发症的发生率更高,住院时间更长.
- 国际外科合作提高了乌克兰复杂的重建程序的能力,特别是与战斗有关的伤害.
- 持续的国际伙伴关系对于乌克兰的文化交流和改善患者结果至关重要.
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