...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>The Internet Journal of Rescue and Disaster Medicine >Management Of Gunshot Injuries Due To Insurgency In The North-Eastern Nigeria
【24h】

Management Of Gunshot Injuries Due To Insurgency In The North-Eastern Nigeria

机译：尼日利亚东北部叛乱造成的枪击伤害管理

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background and Objectives: Violent Trauma especially gunshot injuries has alarmingly increased worldwide. With the advent of insurgency to date in Nigeria, fatal gunshot injuries became serious health problem.We present a review of our management of gunshot injuries due to the insurgency and proffered suggestions on how to improve on the managements of these injuries in North-eastern Nigeria.Patients and Methods: This is a prospective study of 147 patients managed for gunshot injuries in University of Maiduguri Teaching Hospital, Maiduguri, Borno State, Nigeria. This study was conducted during the insurgency period between January, 2011 and December, 2013. The study population included adults and paediatric age groups. The data collected was analyzed using statistical software for social sciences (SPSS) version 20. All patients were managed by the various specialties in the hospital from the time of presentations to the hospital to the time of discharge or otherwise. Patients were then followed up accordingly.Results: One hundred and forty-seven (147) patients with gunshot injuries were being managed during the period under review. There weremore males,134 (91.2%), than females, 13 (8.8%); (χ2=199.0 p=0.00) with M: F of 10:1. Their ages ranged from 5 – 72 years with the mean age of 38.6 years (SD±18.3). During the insurgency conflict, high velocity rifles with long gun were frequently used on 145(98.6%) patients while short guns were used on the remaining 2 (1.36%) patients.Majority of the patients,132 (89.8%) sustained multiple sites of gunshot injuries, followed by head and neck injuries occurring in 92 (62.6%) subjects. The least site of injuries was pelvic and perineum. Only 9(6.1%) patients had first aid intervention at the scene of the gunshots.Majority of the patients, 67 (45.6%), were rescued and transported to the hospital by the security operatives. The definitive treatments involved multi – disciplinary subspecialties.Conclusion: Insurgency in the north-eastern part of Nigeria had become a burden with high morbidity and mortality. There is need to update the skills of the surgeons on the management of insurgency, combat casualties and to open well equipped trauma centre with functional standard ambulance services in this sub-region. INTRODUCTION Gunshot injuries are high velocity missile injuries which can cause profound morbidity and significant mortality due to wound severity from high energy impact, inadequate first aid at the time of injury, long evacuation time from the site of injury and faulty surgical technique.1, 2, 3 These injuries result from bullets of high velocity military rifles, pistols and hand guns which can occur in both military and civilian settings and usually involve more than one person. These injuries usually demand urgent surgical attention and antibiotic treatment. The causes of gunshot injuries in Nigeria like many other African countries and developing countries may include sectarian religious crises, military violence, communal clashes, armed robbery, political violence, students’ cultism and of recent the high incidence of insurgency in Nigeria in general and North-Eastern Nigeria in particular.3,4,5,6,7 Gunshot injuries were first reported in West Africa following the Nigerian civil war of 1967-1970.6 In Transkei region of South Africa it was the commonest cause of death.7Gunshot injuries could be devastating especially when it involves vital organs and could result to instant death. The cost of treating patients that survive these injuries could be enormous especially when the injuries are to the head, chest, abdomen and the spine.8, 9, 10 According to the Oxford English Dictionary insurgency is defined as armed rebellion against a constituted authority (an authority recognized as such by the United Nations) when those taking part in the rebellion are not recognized as belligerents. We therefore reviewed our management of gunshot injuries due to the insurgency in the North-eastern Ni
机译：背景和目标：暴力创伤，尤其是枪伤，在世界范围内急剧增加。随着尼日利亚叛乱活动的到来，致命的枪伤成为严重的健康问题。我们对由于叛乱造成的枪伤的处理进行了回顾，并就如何改善尼日利亚东北部这些伤害的管理提出了建议患者与方法：这是一项对前瞻性研究，研究对象是尼日利亚博尔诺州迈杜古里的迈杜古里大学教学医院的147名因枪击受伤而接受治疗的患者。这项研究是在2011年1月至2013年12月的叛乱期间进行的。研究人群包括成人和儿童年龄组。使用社会科学统计软件（SPSS）20版对收集到的数据进行分析。从向医院就诊到出院之时，所有患者均由医院的各个专科负责管理。结果：在本报告所述期间，有147例枪击伤患者得到了治疗。男性134（91.2％）多于女性13（8.8％）; （χ2= 199.0 p = 0.00），M：F为10：1。他们的年龄介于5至72岁之间，平均年龄为38.6岁（SD±18.3）。在叛乱冲突期间，145例（98.6％）患者经常使用带长枪的高速步枪，其余2例（1.36％）患者使用短枪。大多数患者132例（89.8％）维持多发枪击伤，然后是92（62.6％）位受试者的头部和颈部受伤。受伤最少的部位是骨盆和会阴。只有9（6.1％）名患者在枪击现场接受了急救干预，其中67名（45.6％）患者被急救人员救出并运送到医院。明确的治疗方法涉及多学科的亚专业。结论：尼日利亚东北部的叛乱已成为高发病率和高死亡率的负担。有必要更新外科医生在管理叛乱，战斗人员伤亡方面的技能，并在该分区域开设配备功能标准救护车服务的装备精良的创伤中心。引言枪击伤是高速导弹伤，由于高能量冲击造成的伤口严重程度，受伤时的急救不足，从受伤部位撤离的时间长以及手术技术故障，会导致严重的发病率和高死亡率。1、2 [3]这些伤害是由高速军事步枪，手枪和手枪的子弹造成的，这些子弹在军事和民用环境中均可能发生，通常涉及多个人。这些损伤通常需要紧急的外科手术治疗和抗生素治疗。像许多其他非洲国家和发展中国家一样，在尼日利亚造成枪击伤害的原因可能包括宗派宗教危机，军事暴力，社区冲突，武装抢劫，政治暴力，学生邪教以及最近在尼日利亚和北部地区普遍发生的叛乱事件高发-特别是尼日利亚东部。3,4,5,6,7枪击伤害是在1967-1970.6尼日利亚内战之后在西非首次报告的，在南非的特兰斯凯地区，这是最常见的死亡原因。7枪击伤害可能是尤其在涉及重要器官并可能导致即时死亡的情况下具有毁灭性。在这些受伤中幸存的患者的治疗费用可能是巨大的，尤其是当头部，胸部，腹部和脊椎受伤时。[8，9，10]根据《牛津英语词典》，叛乱被定义为针对组成当局的武装叛乱（参与叛乱的人不被视为交战者时，则由联合国认可的当局）。因此，我们回顾了由于东北Ni叛乱而对枪伤的处理方法

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号