Surgical management of Syria鈥檚 war casualties: experience from a French surgical team deployed in the Zaatari refugee camp (Jordan)

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• 作者：E. Hornez (1)
  P. Ramiara (2)
  N. Mocellin (3)
  X. Bajard (4)
  S. Legoudeveze (5)
  C. Charpail (6)
  D. Ollat (4)
  
  1. 6猫me Antenne Chirurgicale A茅rotransportable ; Service de chirurgie thoracique et visc茅rale ; H么pital d鈥橧nstruction des Arm茅es PERCY ; 101 Boulevard Henri Barbusse ; 92140 ; Clamart ; France
  2. 6th Forward Surgical Team ; Department of Anesthesiology and Resuscitation ; Sainte Anne Military Teaching Hospital ; Toulon ; France
  3. Department of Thoracic and Visceral Surgery ; Percy Military Teaching Hospital ; Clamart ; France
  4. Trauma Unit ; Begin Military Teaching Hospital ; Saint Mand茅 ; France
  5. Department of Visceral Surgery ; Clermont Tonnerre Military Teaching Hospital ; Brest ; France
  6. Trauma Unit ; Clermont Tonnerre Military Teaching Hospital ; Brest ; France
  
• 关键词：Refugees ; Syria ; War surgery ; Polytrauma
• 刊名：European Journal of Trauma and Emergency Surgery
• 出版年：2015
• 出版时间：April 2015
• 年：2015
• 卷：41
• 期：2
• 页码：143-147
• 全文大小：485 KB
• 参考文献：1. Duchesne, JC, McSwain, NE, Cotton, BA, Hunt, JP, Dellavolpe, J, Lafaro, K (2010) Damage control resuscitation: the new face of damage control. J Trauma 69: pp. 976-990 CrossRef
  2. Fox, CJ, Gillespie, DL, O鈥橠onnell, SD, Rasmussen, TE, Goff, JM, Johnson, CA (2005) Contemporary management of wartime vascular trauma. J Vasc Surg 41: pp. 638-644 CrossRef
  3. Champion, HR, Bellamy, RF, Roberts, CP, Leppaniemi, A (2003) A profile of combat injury. J Trauma 54: pp. S13-S19
  4. Gawande, A (2004) Casualties of war鈥攎ilitary care for the wounded from Iraq and Afghanistan. N Engl J Med 351: pp. 2471-2475 CrossRef
  5. Eastridge, BJ, Hardin, M, Cantrell, J, Oetjen-Gerdes, L, Zubko, T, Mallak, C (2011) Died of wounds on the battlefield: causation and implications for improving combat casualty care. J Trauma 71: pp. S4-S8 CrossRef
  6. Oberlin, C, Rantissini, M (2011) Gunshot injuries to the nerves. Chir Main 30: pp. 176-182 CrossRef
  7. Roganovic, Z (2005) Missile-caused median nerve injuries: results of 81 repairs. Surg Neurol 63: pp. 410-418 CrossRef
  
• 刊物主题：Traumatic Surgery; Surgical Orthopedics; Emergency Medicine; Sports Medicine; Intensive / Critical Care Medicine; Surgery;
• 出版者：Springer Berlin Heidelberg
• ISSN：1863-9941

文摘

Purpose In August 2012, the Zaatari refugee camp was opened in Jordan under the auspices of the United Nations High Commissioner for Refugees. France deployed there a surgical facility to treat victims of war trauma. Methods After a phase of intensive care and resuscitation, surgical management meeting the current standards of war surgery was conducted. Then, patients were transferred to a Jordanian civilian hospital or stayed in the Zaatari camp. A retrospective analysis of patient data was performed. Results From January to March 2013, 95 patients were managed: 85聽% of patients were male with a median age of 27聽years (4鈥?5); 5聽% of patients were Conclusions The presence at the Zaatari camp of a surgical facility, which is experienced and specialized in war surgery, is essential, as long as battles are ongoing. Many victims will later require long-term surgical care for the management of the sequelae associated with these traumas.