[1]董玉书　高　阳　刘阳阳　甄恩迪　毛崇丹　梁国标.西非马里战乱地区中国维和二级医院神经创伤救治转运的实践[J].中国临床神经外科杂志,2017,(08):552-554.[doi:10.13798/j.issn.1009-153X.2017.08.010]
　DONG Yu-shu,GAO Yang,LIU Yang-yang,et al.The practice of Chinese peacekeeping level 2 hospital in rescuing and transporting patients with neuro-trauma in West African Malian war area[J].,2017,(08):552-554.[doi:10.13798/j.issn.1009-153X.2017.08.010]
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西非马里战乱地区中国维和二级医院神经创伤救治转运的实践()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2017年08期
页码:
552-554
栏目:
论著
出版日期:
2017-08-25

文章信息/Info

Title:
The practice of Chinese peacekeeping level 2 hospital in rescuing and transporting patients with neuro-trauma in West African Malian war area
文章编号:
1009-153X（2017）08-0552-03
作者:
董玉书　高　阳　刘阳阳　甄恩迪　毛崇丹　梁国标
110016 沈阳，中国人民解放军沈阳军区总医院神经外科（董玉书、高　阳、刘阳阳、甄恩迪、毛崇丹、梁国标）
Author(s):
DONG Yu-shu;  GAO Yang;  LIU Yang-yang;  ZHEN En-di;  MAO Chong-dan;  LIANG Guo-biao.
Department of Neurosurgery, Shenyang Military Command General Hospital, PLA, Shenyang 110016, China
关键词:
神经创伤; 马里; 维和; 二级医院; 救治
Keywords:
Wounded non-effectives;  Malian;  Peacekeeping;  Level 2 hospital;  Neuro-trauma;  Rescuing and treatment
分类号:
R 651.1+5
DOI:
10.13798/j.issn.1009-153X.2017.08.010
文献标志码:
A
摘要:
目的 对西非马里战乱地区中国维和二级医院神经创伤救治转运的病例进行总结分析，以完善数据并提升我国军队海外维和神经创伤救治水平。方法 收集2014年4月至2017年3月西非马里战乱地区执行维和任务的中国二级医院收治和转运的所有神经创伤168例，提取其中伤员身份、创伤诊断及救治方法等关键数据，对以上病例的致伤原因、创伤部位、救治方法及伤残情况逐项进行分析。结果 包括汽车炸弹和路边地雷在内的简易爆炸物是造成马里战乱地区中国二级医院救治转运的神经创伤的主要原因；神经创伤部位综合包括颅脑、脊髓脊柱、四肢神经及颅神经创伤；救治方法既包括在二级医院的基本外科手术，也包含及时空运医疗后送至上级机构救治；救治转运的神经创伤伤情伤势重，死亡和重残比例高。结论 西非马里战乱地区中国维和二级医院神经创伤的救治转运有显著不同于国内的特点，需要加强总结研究，提出改进意见，提高救治成功率。
Abstract:
Objective To improve the Chinese overseas peacekeeping troops in the treatment level of neuro-trauma. Methods The data of 168 wounded non-effectives with neuro-trauma rescued and transported by Chinese peacekeeping level 2 hospitals from April 2014 to March 2017 were collected and analyzed. The key information including the wounded non-effectives’ identity, trauma diagnosis, therapeutic methods, and degree of disability were extracted from the collected data and analyzed. Results The Improvised explosive devices (IED) including car bombs and roadside mines, were the main cause of neuro-trauma in the wounded non-effectives. The injured parts included brain, spinal cord, nerves of the arms and legs, and cranial nerves. The rescuing and therapeutic methods included the basic neurosurgeries in level 2 hospital and aero-medical evacuations to upper medical institutions. The conditions of the neuro-trauma wounded non-effectives rescued and transported by Chinese peacekeeping level 2 hospital in Malian war area were serious and the mortality and rate of severe disability was high. Conclusions The characters of the neuro-trauma cases rescued and transported by Chinese peacekeeping level 2 hospitals in West African Malian war area were obviously different from those in the domestic. To improve the success rates of rescuing and treatment of the wounded non-effectives, we should strengthen the summary and study of this field and put forward the optimizing advices.

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备注/Memo

备注/Memo:
基金项目：国家自然科学基金（81671313；81671174）；中国博士后科学基金（2016 M592951） 作者单位：110016 沈阳，中国人民解放军沈阳军区总医院神经外科（董玉书、高　阳、刘阳阳、甄恩迪、毛崇丹、梁国标） 通讯作者：梁国标，E-mail：liangguobiao6708@163.com
更新日期/Last Update: 1900-01-01