在平民中手榴弹伤害
1Medical Division, International Committee of the Red Cross, Geneva, Switzerland.
JAMA
|August 4, 1993
概括
在流离失所者营地的手榴弹伤害往往影响非战斗人员,大多数伤害造成的组织损伤最小. 一些不复杂的碎片伤口可能不需要最初的手术.
科学领域:
- 创伤外科手术是什么
- 冲突地区的公共卫生.
- 伤口分类系统是伤口分类系统.
背景情况:
- 流离失所者营地是平民受伤的脆弱环境.
- 手榴弹在这些环境中对非战斗人员造成伤害的风险很大.
研究的目的:
- 描述难民营中手榴弹造成的非战斗人员伤害.
- 用红十字分类系统对这些伤口进行分类.
主要方法:
- 采用了一个案例系列设计.
- 在Khao I Dang难民营的一家手术医院,收集了74名手榴弹受伤的患者的数据.
- 标准干预包括静脉注射抗生素和初级伤口手术.
主要成果:
- 大多数受伤者 (93%) 是非战斗人员,包括妇女,儿童和老年人.
- 在91种被分类的伤口中,59%是轻微的软组织损伤.
- 骨折不常见,没有观察到碎骨折. 对24个软组织伤口的保守治疗导致了最小的发病率和没有死亡率.
结论:
- 手榴弹碎片通常会造成有限的组织损伤;严重的伤害是由于穿透重要结构造成的.
- 小,不复杂的碎片伤口可能适合最初的非手术治疗.
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