Being a neighbor to Syria: A retrospective analysis of patients brought to our clinic for cranial gunshot wounds in the Syrian civil war
Being a neighbor to Syria: A retrospective analysis of patients brought to our clinic for cranial gunshot wounds in the Syrian civil war
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DOI：
10.1016/j.clineuro.2014.08.019
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发表时间：
2014-10-01
影响因子：
1.9
通讯作者：
Urfali, B.
中科院分区：
文献类型：
--
作者：
Aras, M.;Altas, M.;Urfali, B.
目的：到2010年底，阿拉伯之春，革命示威和抗议浪潮也影响了叙利亚，暴力冲突演变成内战。成千上万的人成为难民。不幸的是，过度使用武力最终在许多城市造成大量伤亡。作为距离叙利亚最大城市阿勒颇、大马士革和霍恩斯最近的城市，安提阿/哈塔伊一直是进行初步紧急治疗的城市。为此，我们对我院门诊收治的战时颅脑枪伤患者的病历资料进行了回顾性分析。材料与方法：186名在叙利亚战争中受伤的病人的医疗记录，这些病人被带到位于叙利亚边境土耳其城市哈塔伊的穆斯塔法·凯末尔大学医学院神经外科诊所接受随访和治疗，结果：在2年多的时间里，共对186例患者进行了评估。在所有患者中，91.4%为成人（男/女：152/18），8.6%为儿科患者（男/女：14/2）。患者的平均年龄为31岁，年龄范围为2个月至67岁。根据入院时患者的格拉斯哥昏迷评分（GCS），32例（17.2%）GCS为3分，70例（37.6%）GCS为4 ~ 7分，84例（45.1%）GCS为8 ~ 15分。我们观察到，GCS为4-7的患者有一个显着降低的死亡率手术治疗的56例患者相比，14例medically.Discussion：颅脑枪伤是负责高死亡率和发病率。多种因素对发病率和死亡率起作用。这些是运输的持续时间，损伤模式，使用的武器的速度，和病人入院时的格拉斯哥昏迷Scales.Conclusion：作者建议，颅脑枪伤的GCS 4-7的患者应积极治疗，包括手术。我们不建议对GCS为3的患者进行手术治疗。我们所有的经验表明，枪伤的治疗将继续是一个有争议的问题，在这方面还有更多的东西要学。本研究报告中提出的数据将再次证明这一事件的严重性，并可能有助于结束战争的和平谈判。(C)2014爱思唯尔有限公司版权所有。
Objective: Toward the end of 2010, the Arab spring, the waves of revolutionary demonstrations and protests influenced also Syria, where violent clashes turned into a civil war. Hundreds of thousands of people became refugees. The use of excessive force unfortunately culminated in numerous deaths and injuries in many cities. Being the closest city to Aleppo, Damascus and Horns, the biggest cities of Syria, Antioch/Hatay has been the city where initial emergency treatments were performed. For this reason, we examined and retrospectively analyzed the medical records of the patients treated in the clinics of our hospital due to cranial gunshot wounds during the war.Material and methods: The medical records of 186 patients who were injured in the Syrian War and brought to, followed up and treated in the Neurosurgery Clinic of Mustafa Kemal University, Faculty of Medicine in Hatay, a Turkish city on the Syrian border, between April 2011 and June 2013.Results: A total of 186 patients were evaluated in a period of more than 2 years. Of all 91.4% of the patients were adults (male/female: 152/18) and 8.6% of them were pediatric patients (male/female: 14/2). The average age of the patients was 31 years, with an age range of between 2 months and 67 years. According to Glasgow coma score (GCS) of the patients at the time of admission, GCS was 3 in 32 patients (17.2%), between 4 and 7 in 70 patients (37.6%), and between 8 and 15 in 84 patients (45.1%). We observed that the patients with GCS of 4-7 had a significantly lower mortality among the 56 patients treated surgically compared with the 14 patients treated medically.Discussion: Cranial gunshot wounds are responsible for high mortality and morbidity. A multiplicity of factors plays a role on morbidity and mortality. These are the duration of transport, the injury pattern, the velocities of the weapons used, and the Glasgow Coma Scales of the patients at the time of admission.Conclusion: The authors recommend that the patients with cranial gunshot wounds who has GCS of 4-7 should be aggressively treated including surgery as well. We do not recommend surgical treatment for patients with GCS of 3. All our experiences show that treatment of gunshot wounds will continue to be a matter of debate, about which there is more to learn. The data presented in this study will once again demonstrate the seriousness of the event, and will, perhaps, contribute to the peace negotiations to end the war. (C) 2014 Elsevier B.V. All rights reserved.