来自乌克兰的战争难民和士兵在创伤重症护理中心接受矫形外科和创伤外科护理的一年经验。

Christian Prangenberg, Lisa Fiona Roder, Kristian Welle, Jonas Roos, Alberto Alfieri Zellner, Soufian Ben Amar, Christof Burger, Martin Gathen
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引用次数: 0

摘要

据联合国统计,在已持续 14 个多月的乌克兰战争中,乌克兰方面约有 8 400 人受伤,5 800 多人丧生。为支持乌克兰,德国开展了广泛的人道主义援助行动,因此来自乌克兰的战争伤员也在德国得到了照顾。在一项回顾性队列研究中,我们对 2022 年 2 月 24 日至 2023 年 2 月 24 日期间在该科室接受治疗的 10 名患者进行了检查,他们使用了来自乌克兰的苜蓿叶系统。平均住院治疗时间为 53.10 天,平均 ISS 为 23.7。患者在我院平均接受了 3.3 次手术。所有患者都接受了心理咨询。所有患者最初都被保护性隔离,直到电晕测试和微生物拭子结果出来。在初步保护性隔离后,有 5 例患者因病菌需要隔离而必须进行进一步隔离。8 名病人被释放到国家收容所。3 名病人在自己的要求下被转回乌克兰。治疗来自乌克兰的战争伤员是一项特殊的挑战,绝对需要跨学科的治疗理念,除了特殊的创伤外科和矫形外科专业知识外,还需要整形外科、微生物学以及最后但并非最不重要的心理治疗。由于需要隔离治疗的感染率很高,往往需要进行多次翻修手术,治疗时间长,费用高。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
One Year of Experience in the Orthopaedic and Trauma Surgical Care of War Refugees and Soldiers from Ukraine in a Maximum Care Trauma Centre.

According to the United Nations, around 8,400 people have been injured and over 5,800 killed on the Ukrainian side in the Ukraine war, which has been going on for over 14 months. Extensive humanitarian aid operations were carried out to support Ukraine, so that war-wounded people from Ukraine were also cared for in Germany. In a retrospective cohort study, 10 patients were examined who were treated in the department between February 24th 2022 and February 24th 2023, using the cloverleaf system from Ukraine.The average duration of inpatient treatment was 53.10 days. The average ISS was 23.7. The patients were operated on an average of 3.3 times in our institution. All patients received consultative psychological care. All patients were initially put into protective isolation until the results of a corona test and microbiological swabs were available. After preliminary protective isolation, further isolation had to be carried out in 5 cases due to germs requiring isolation. Eight patients were released to state accommodation. Three patients were transferred back to Ukraine at their own request.The treatment of war-injured patients from Ukraine represents a particular challenge. It absolutely requires an interdisciplinary treatment concept that, in addition to special trauma surgery and orthopaedic expertise, also requires plastic-reconstructive, microbiological and, last but not least, psychological care. Due to the high rate of infections requiring isolation, long, costly therapy with multiple revision operations is often necessary.

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