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Surgical Needs at the End of the Battle of Mosul: Results from Mosul General Hospital

机译:摩苏尔战役结束时的手术需求:莫尔综合医院的结果

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Purpose The aim of the study was to analyze the surgical needs of patients seeking emergency care at the Mosul General Hospital in the final phase of the battle of Mosul in northern Iraq between an international military coalition and rebel forces. During the conflict, the International Red Committee of the Red Cross (ICRC) supported the hospital with staff and resources. Ceasefire in the conflict was declared at the end of July 2017. Methods Routinely collected hospital data from the ICRC-supported Mosul General Hospital from June 6, 2017, to October 1, 2017 were collected and analyzed retrospectively. All patients with weapon-related injuries as well as all patients with other types of injuries or acute surgical illness were included. Results Some 265 patients were admitted during the study period. Non-weapon-related conditions were more common than weapon-related (55.1%). The most common non-weapon-related condition was appendicitis followed by hernia and soft tissue wounds. Blast/fragment was the most frequent weapon-related injury mechanism followed by gunshot. The most commonly injured body regions were chest and abdomen. Children accounted for 35.3% of all weapon-related injuries. Patients presented at the hospital with weapon-related injuries more than 2 months after the official declaration of ceasefire. A majority of the non-weapon-related, as well as the weapon-related conditions, needed surgery (88.1% and 87.6%, respectively). Few postoperative complications were reported. Conclusions The number of children affected by the fighting seems to be higher in this cohort compared to previous reports. Even several months after the fighting officially ceased, patients with weapon-related injuries were presenting. Everyday illnesses or non-weapon-related injuries dominated. This finding underlines the importance of providing victims of conflicts with surgery for life-threatening conditions, whether weapon related or not.
机译:目的,该研究的目的是分析在国际军事联盟和反叛部队之间的伊拉克北部摩苏尔战役中寻求紧急护理的患者的手术需求。在冲突期间,红十字国际红十字国际委员会(红十字国际委员会)支持医院与员工和资源。在2017年7月底宣布冲突中的停火。方法从2017年6月6日到2017年6月6日星期六常常从2017年6月6日收集来自国际红十字国际委员会支持的Mosul综合医院的医院数据。所有武器相关伤害的患者以及所有其他类型伤害或急性手术疾病的患者均被包括在内。结果研究期间约有265名患者。与武器相关的非武器相关条件比武器相关(55.1%)。最常见的非武器相关病症是伴疝和软组织伤口。爆炸/片段是最常见的武器相关的伤害机制,然后是枪声。最常见的身体区域是胸部和腹部。儿童占所有武器相关伤害的35.3%。患者在医院呈现出与武器相关的伤害超过2个月以后停火。大多数非武器相关的,以及武器相关的条件,需要手术(分别为88.1%和87.6%)。报道了很少的术后并发症。结论与以前的报告相比,这种群体影响受到战斗影响的儿童数量似乎更高。甚至在战斗中正式停止后几个月,患有武器相关伤害的患者呈现。日常疾病或非武器相关的伤害占主导地位。这一发现强调了向威胁危及生命条件的手术提供冲突的重要性,无论是相关的武器。

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