战斗骨科创伤护理：乌克兰战时应对的挑战和创新

IF 3.2 2区医学 Q1 SURGERY

Surgery Pub Date : 2025-04-10 DOI:10.1016/j.surg.2025.109313

Caroline S. Epstein MD , Grygorii Prokhorenko MD , Dmytro Los MD , Roman Pavchak MD

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引用次数: 0

摘要

自2014年顿巴斯入侵以来，乌克兰的骨科创伤护理受到持续冲突的影响，并因2022年俄罗斯入侵而进一步加剧，反映了面对资源限制和疏散挑战，治疗现代战时创伤的复杂性。乌克兰医疗队尽可能遵守西方医疗标准，采用分层护理制度，从受伤点到前沿外科小组，最后到三级设施的先进程序。然而，资源短缺和延迟疏散导致了严重的并发症，包括与止血带有关的肾损伤和截肢。这些现实迫使我们必须在医疗规程方面进行创新，并提供持续的国际支持，以满足冲突地区的医疗需求。

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Combat orthopedic trauma care: Challenges and innovations in Ukraine's wartime response

Orthopedic trauma care in Ukraine, shaped by the ongoing conflict since the Donbas invasion in 2014 and further intensified by the 2022 Russian invasion, reflects the complexity of treating modern wartime injuries in the face of resource constraints and evacuation challenges. Ukrainian medical teams have to the greatest extent possible adhered to Western medical standards, using a tiered care system that spans from the point of injury, to forward surgical teams leading, finally to advanced procedures in tertiary facilities. However, resource shortages and delayed evacuations have led to significant complications, including tourniquet-related kidney injury and limb amputations. These realities compel the need for innovation in medical protocols and sustained international support to address the demands of conflict-zone care.

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来源期刊

Surgery 医学-外科

CiteScore

5.40

自引率

5.30%

发文量

687

审稿时长

64 days

期刊介绍： For 66 years, Surgery has published practical, authoritative information about procedures, clinical advances, and major trends shaping general surgery. Each issue features original scientific contributions and clinical reports. Peer-reviewed articles cover topics in oncology, trauma, gastrointestinal, vascular, and transplantation surgery. The journal also publishes papers from the meetings of its sponsoring societies, the Society of University Surgeons, the Central Surgical Association, and the American Association of Endocrine Surgeons.