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Injuries from antipersonnel mines: the experience of the International Committee of the Red Cross.

机译:杀伤人员地雷造成的伤害:红十字国际委员会的经验。

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摘要

OBJECTIVE--To describe and quantify patterns of injury from antipersonnel mines in terms of distribution of injury, drain on surgical resources, and residual disability. DESIGN--Retrospective analysis. SETTING--Two hospitals for patients injured in war. SUBJECTS--757 patients with injuries from antipersonnel mines. MAIN OUTCOME MEASURES--Distribution and number of injuries; number of blood transfusions; number of operations; disability. RESULTS--Pattern 1 injury results from standing on a buried mine. These patients usually sustain traumatic amputation of the foot or leg; they use most surgical time and blood and invariably require surgical amputation of one or both lower limbs. Pattern 2 injury is a more random collection of penetrating injuries caused by multiple fragments from a mine triggered near the victim. The lower limb is injured but there is less chance of traumatic amputation or subsequent surgical amputation. Injuries to the head, neck, chest, or abdomen are common. Pattern 3 injury results from handling a mine: the victim sustains severe upper limb injuries with associated face injuries. Eye injuries are common in all groups. CONCLUSIONS--Patients who survive standing on a buried mine have greatest disability. Non-combatants are at risk from these weapons; in developing countries their social and economic prospects after recovery from amputation are poor.
机译:目的-从伤害分布,手术资源消耗和残障等方面描述和量化杀伤人员地雷的伤害方式。设计-回顾性分析。地点-两家战争伤员医院。主题--757名杀伤人员地雷造成的伤害。主要观察指标-伤害的分布和数量;输血次数;操作次数;失能。结果-模式1的伤害是由于站在地下矿山上造成的。这些患者通常会遭受脚或腿的外伤性截肢。他们花费大量的手术时间和血液,并且总是需要对下肢之一或两个进行截肢。模式2伤害是由受害者附近触发的地雷的多个碎片引起的穿透性伤害的更随机集合。下肢受伤,但截肢或随后进行手术截肢的机会较小。头部,颈部,胸部或腹部的伤害很常见。模式3的伤害是由操作地雷造成的:受害者遭受严重的上肢受伤并伴有面部受伤。眼外伤在所有人群中都很普遍。结论-站在埋藏的地雷中存活的患者的残疾最大。非战斗人员受到这些武器的威胁;在发展中国家,截肢后的社会和经济前景不佳。

著录项

  • 期刊名称 British Medical Journal
  • 作者

    R M Coupland; A Korver;

  • 作者单位
  • 年(卷),期 1991(303),6816
  • 年度 1991
  • 页码 1509–1512
  • 总页数 4
  • 原文格式 PDF
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