AN EXPERIENCE OF WAR SURGERY AND WOUNDS PRESENTING AFTER 3 DAYS ON THE BORDER OF AFGHANISTAN

AN EXPERIENCE OF WAR SURGERY AND WOUNDS PRESENTING AFTER 3 DAYS ON THE BORDER OF AFGHANISTAN
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DOI:
10.1016/0020-1383(88)90041-1
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发表时间:
1988-07-01
影响因子:
2.5
通讯作者:
HOWELL, PR
HOWELL, PR
中科院分区:
医学3区
文献类型:
--
作者:
COUPLAND, RM;HOWELL, PR

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红十字国际委员会(红十字委员会)自1981年以来一直为阿富汗冲突中的伤者开办医院。由于政治和地理原因,医院位于巴基斯坦,距离战斗地点有一段距离,因此伤员可能需要许多天才能到达。这使得由英国红十字会提供的外科小组能够观察不同年龄、不同程度的腐烂或愈合的伤口。对29例伤口3天及以上的患者进行了详细分析。陈旧性创面有溃烂或愈合的倾向,手术处理需相应调整。在战场上缝合的伤口容易腐烂。在各种各样的问题中,最棘手和困难的是文化和宗教对截肢的反对。红十字国际委员会承诺,只要冲突持续,就为阿富汗战争伤员提供外科医院。它使当地的设施和工作人员适应了特定的政治、地理和文化情况。
The International Committee of the Red Cross (ICRC) has run hospital for the wounded of the conflict in Afghanistan since 1981. For political and geographical reasons the hospitals are situated in Pakistan, some distance from the fighting, and so the wounded may take many days to arrive. This has enabled a surgical team provided by the British Red Cross Society to observe wounds of varying age and degrees of putrefaction or healing. Twenty-nine (29) patients with wounds of 3 or more days are detailed. The old wounds showed a tendency either to putrefaction or healing and the surgical management had to be revised accordingly. Wounds sutured in the field tended to putrefy. Among the various problems, the most taxing and difficult were the cultural and religious objections to amputation. The ICRC is committed to providing surgical hospitals for the Afghan war wounded for as long as the conflict lasts. It has adapted the local facilities and staff to the particular political, geographical and cultural situation.