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首页> 外文期刊>The Internet Journal of Rescue and Disaster Medicine >Evaluation of CT scanned Multiple Injured in peacetime and Ile Ife-Modakeke Communal War
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Evaluation of CT scanned Multiple Injured in peacetime and Ile Ife-Modakeke Communal War

机译：平时和Ile Ife-Modakeke共同战争中CT扫描多发伤的评估

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Background: Computed Tomography Scan (CT scan) is effective in delineating soft tissue and bony injuries. The multiply injured in peacetime and communal war who had CT scan in the sub-Saharan Africa has not been evaluated.Objective: To evaluate the comparative study of CT scanned patients with multiple injuries in peacetime and during Ile-Ife/ Modakeke communal war (IMCW).Patients and Methods: A prospective study of the IMCW multiply injured that required CT Scan between 14th August,1997 and June 2000 was embarked upon at a University Teaching Hospital setting. A 3years consecutive peacetime multiply injured patients who needed CT scan were compared with the IMCW patients. The Injury Severity Score was used to assess the severity of injuries in both groups. Descriptive data analyzed with SPSS version 11.0.Results: A total of forty three peacetime multiple injured (PMI) patients and thirty IMCW patients required CT scan. The main cause of multiple injuries in peacetime was road traffic injury 83.3% as compared to the gunshot 90% and explosive blast (10%) injuries during the communal war. A total of 77.2% and 89.2% of limb fractures were of Gustillo Anderson type III in the IMCW and PMI groups respectively. The distribution of CT scan findings and surgical treatment differs in the two groups of patients. There were 16.3% mortality and mean duration of hospital stay of 35 days +/-17.2 in the PMI group. 71.4% of PMI group's mortality died of pulmonary embolism and 28.6% from sepsis. However, the mean duration of IMCW patient's hospital stay was 21 days +/-7.6 and 3.3% mortality from multiple organ failureConclusion: We have applied the Injury Severity Score to communal war multiple injuries. A striking difference existed among the CT scanned PMI and IMCW patients. This could be used to prognosticate outcome of the multiply traumatized treatment awaiting CT scanning. Introduction Information acquired by Computerized tomography scan (CT Scan) concerning bony fragments and destruction, dural tear, spinal cord and nerve root compression, ocular and neural damage often directly influenced the surgical management 1 . Advantages of CT scan include accurate delineation of in-driven bony and metallic fragments, the relation of hematomas to the missile tract and detection of brain abscesses 2 .To imagine that the first decade of the 21 st century will be free of armed conflict is unfortunately an unrealistic dream 3 . In addition, road traffic injuries are a major cause for concern and are believed to be reaching pandemic proportions. Thousands of those wounded would have to be treated often in countries with limited resources available for providing adequate surgical care and rehabilitation 4 .Gunshot trauma remains a significant cause of morbidity, mortality and socioeconomic burden with 115,000 missile injuries and as many as 40,000 deaths recorded annually 5 .The cultural landscape of society cannot be assessed completely without the acknowledgment of gunshot injuries 6 and particularly relevant to traumatologist is the knowledge that the extremities are the most commonly struck areas of the body 7 .Ile-Ife and Modakeke are two neighboring Nigerian communities that have coexisted together in the last 300 years with intermittent low level crisis 8 . During the latest Ile-Ife/ Modakeke Communal War (IMCW) low and high velocity weapons were used among the two communities as seen at the Obafemi Awolowo University Teaching Hospital Complex (OAUTHC) Ile Ife, Nigeria. We are not aware of any report on the comparison of CT scanned multiply injured in communal war and peacetime in the sub-Saharan Africa. The present comparative study of CT scanned multiple injured war victims and the peacetime multiple injured patients is essential in trauma care. The research question was that there is a difference between the two groups of patients. Patients And Methods All patients were triaged at the emergency and accident unit to sort out who will require f
机译：背景：计算机断层扫描（CT扫描）可有效描绘软组织和骨损伤。未评估在撒哈拉以南非洲地区进行CT扫描的和平时期和公共战争中受伤的多人。目的：评估和平时期和Ile-Ife / Modakeke社区战争（IMCW）中CT扫描的多发伤患者的比较研究患者和方法：在1997年8月14日至2000年6月间，需要进行CT扫描的IMCW多发伤的前瞻性研究在大学教学医院进行。将连续3年平时需要CT扫描的多处受伤患者与IMCW患者进行比较。损伤严重程度评分用于评估两组的损伤严重程度。使用SPSS 11.0版分析描述性数据。结果：总共需要对43位平时多发损伤（PMI）患者和30名IMCW患者进行CT扫描。和平时期造成多重伤害的主要原因是道路交通伤害83.3％，而在公共战争期间，枪击伤害为90％，爆炸伤害为（10％）。 IMCW组和PMI组分别有77.2％和89.2％的III型Gustillo Anderson骨折。两组患者的CT扫描结果分布和手术治疗有所不同。 PMI组死亡率为16.3％，平均住院时间为35天+/- 17.2。 PMI组死亡率中有71.4％因肺栓塞而死亡，败血症所致死亡率为28.6％。但是，IMCW患者的平均住院时间为21天+/- 7.6，多器官功能衰竭的死亡率为3.3％。结论：我们将伤害严重度评分应用于社区战争多发伤。 CT扫描的PMI和IMCW患者之间存在显着差异。这可以用于预后等待CT扫描的多重创伤治疗的结果。简介通过计算机断层扫描（CT扫描）获得的有关骨碎片和破坏，硬脑膜撕裂，脊髓和神经根受压，眼和神经损伤的信息通常直接影响手术管理1。 CT扫描的优点包括准确描绘驱动的骨和金属碎片，血肿与导弹束的关系以及发现脑脓肿2。不幸的是，想像一下21世纪的前十年将没有武装冲突不切实际的梦想3。另外，道路交通伤害是引起人们关注的主要原因，并且据信正在达到大流行的程度。成千上万的受伤者将不得不在资源有限的国家中得到经常的治疗，以提供足够的手术护理和康复4。枪击创伤仍然是发病率，死亡率和社会经济负担的重要原因，每年有115,000枚导弹受伤，每年有40,000例死亡5。如果不承认枪击伤害，就无法对社会的文化景观进行全面评估6，尤其是与创伤医师有关的是，认识到四肢是人体最常见的部位7。Ile-Ife和Modakeke是尼日利亚的两个相邻社区在过去的300年中，它们与间歇性的低级危机共存8。在最近的艾尔-伊法/莫达奇科社区战争（IMCW）中，两个社区之间都使用了低速和高速武器，如尼日利亚奥法贝米·阿沃罗沃大学教学医院综合大楼（OAUTHC）所见。我们不知道有任何报告比较过在撒哈拉以南非洲在社区战争和和平时期进行CT扫描的多重伤害。目前的CT对比研究扫描了多名受伤的战争受害者，和平时期多名受伤的患者在创伤护理中至关重要。研究问题是两组患者之间存在差异。患者与方法所有患者均在急诊室进行了分诊，以找出谁将需要

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