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Battlefield extremity injuries in Operation Iraqi Freedom.

机译：伊拉克自由行动中战场上的四肢受伤。

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OBJECTIVE: Extremity injuries account for the majority of wounds incurred during US armed conflicts. Information regarding the severity and short-term outcomes of patients with extremity wounds, however, is limited. The aim of the present study was to describe patients with battlefield extremity injuries in Operation Iraqi Freedom (OIF) and to compare characteristics of extremity injury patients with other combat wounded. PATIENTS AND METHODS: Data were obtained from the United States Navy-Marine Corps Combat Trauma Registry (CTR) for patients who received treatment for combat wounds at Navy-Marine Corps facilities in Iraq between September 2004 and February 2005. Battlefield extremity injuries were classified according to type, location, and severity; patient demographic, injury-specific, and short-term outcome data were analysed. Upper and lower extremity injuries were also compared. RESULTS: A total of 935 combat wounded patients were identified; 665 (71%) sustained extremity injury. Overall, multiple wounding was common (an average of 3 wounds per patient), though more prevalent amongst patients with extremity injury than those with other injury (75% vs. 56%, P<.001). Amongst the 665 extremity injury patients, 261 (39%) sustained injury to the upper extremities, 223 (34%) to the lower extremities, and 181 (27%) to both the upper and lower extremities. Though the total number of patients with upper extremity injury was higher than lower extremity injury, the total number of extremity wounds (n=1654) was evenly distributed amongst the upper and lower extremities (827 and 827 wounds, respectively). Further, lower extremity injuries were more likely than the upper extremity injuries to be coded as serious to fatal (AIS>2, P<.001). CONCLUSIONS: Extremity injuries continue to account for the majority of combat wounds. Compared with other conflicts, OIF has seen increased prevalence of patients with upper extremity injuries. Wounds to the lower extremities, however, are more serious. Further research on the risks and outcomes associated with extremity injury is necessary to enhance the planning and delivery of combat casualty medical care.
机译：目的：在美国武装冲突期间，肢体受伤占大多数。但是，有关四肢伤口患者的严重程度和短期预后的信息有限。本研究的目的是描述伊拉克自由行动（OIF）中战场上肢体受伤的患者，并比较其他战斗伤员的肢体受伤患者的特征。病人和方法：数据来自美国海军陆战队打击创伤登记处（CTR），该病人是在2004年9月至2005年2月间在伊拉克海军陆战队设施接受过战伤治疗的患者。类型，位置和严重性;分析了患者的人口统计学，损伤特异性和短期结局数据。还比较了上肢和下肢受伤。结果：总共确定了935名战斗伤员。 665例（71％）肢体持续受伤。总体而言，多发伤很常见（每名患者平均受伤3次），尽管四肢受伤的患者比其他受伤的患者更为普遍（75％vs. 56％，P <.001）。在665名肢体受伤患者中，有261名（39％）受到上肢的持续性伤害，有223名（34％）受到下肢的伤害，而有181名（27％）受到上肢和下肢的伤害。尽管上肢损伤的患者总数高于下肢损伤，但上肢伤口总数（n = 1654）均匀分布在上肢和下肢（分别为827和827伤口）之间。此外，下肢受伤比上肢受伤更有可能被编码为严重到致命（AIS> 2，P <.001）。结论：四肢受伤仍占战斗伤的大部分。与其他冲突相比，OIF看到上肢损伤患者的患病率增加。然而，下肢的伤口更为严重。为了加强战斗伤亡医疗的规划和提供，有必要进一步研究与肢体受伤相关的风险和结果。

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