■改善恐怖袭击造成的伤害的护理需要了解武装冲突中的伤害机制。这项研究的目的是确定由于城市环境中的恐怖袭击而导致的胸腹战斗伤害的军事人员的伤害特征。
对2015年6月至2016年12月期间在土耳其各个城市地区因恐怖相关伤害在初级医疗机构治疗并稳定后被转诊至三级医疗中心的胸腹伤军事人员进行了回顾性研究。
■本研究共纳入70例患者,其中87.1%的人被炸药炸伤,12.9%(n=9)有枪伤(GSW)。平均损伤严重度评分(ISS)为21分,输血量为3.7单位,死亡率为8.5%。受爆炸物伤害的病人最常见的是腹部和四肢受伤(31.1%),而在GSWs患者中观察到孤立的腹部损伤(55.6%)。损伤机制和国际空间站之间没有显着差异,输血,和死亡率(分别为p=0.635,p=0.634和p=0.770)。在ISS和输血量之间观察到显著的相关性(r=0.548,p<0.001)。高ISS患者和大量输血患者的死亡率明显较高(分别为p=0.004和p<0.001)。
■爆炸伤害,伴随血管损伤,高国际空间站,需要大量输血增加了城市战斗伤害的死亡率。快速识别高危患者,提高伤情护理水平,使用预测模型或评分系统至关重要。
UNASSIGNED: Improving the care of injuries resulting from terrorist attacks requires understanding injury mechanisms in armed conflicts. The aim of this study was to identify injury characteristics in military personnel with thoracoabdominal combat injuries resulting from terrorist attacks in urban settings.
UNASSIGNED: A retrospective study of military personnel with thoracoabdominal injuries who were referred to a tertiary center after treating and stabilizing at a primary healthcare organization due to terror-related injuries in various urban regions of Turkey between June 2015 and December 2016 was performed.
UNASSIGNED: A total of 70 patients were included in this study, of whom 87.1% were injured by explosives and 12.9% (n= 9) had gunshot wounds (GSWs). Mean injury severity score (ISS) was 21, blood transfusion amount was 3.7 units, and mortality rate was 8.5%. Patients injured by explosives had most commonly abdominal and extremity injuries (31.1%), whereas isolated abdominal injuries (55.6%) were observed among patients with GSWs. There were no significant differences between the mechanisms of injuries and the ISS, blood transfusion, and mortality (p= 0.635, p= 0.634, and p= 0.770, respectively). A significant correlation was observed between the ISS and transfusion amounts (r= 0.548, p <0.001). Mortality was significantly higher in those with a high ISS and those undergoing massive blood transfusions (p= 0.004 and p <0.001, respectively).
UNASSIGNED: Explosive injuries, concomitant vascular injuries, high ISS, and the need for massive transfusions increased the mortality rate in urban combat injuries. To quickly identify high-risk patients and improve the care of injuries, it is essential to use predictive models or scoring systems.