Treatment Results of Abdominal Trauma and Causes of Martyrdom During the Impressed War

SUMMARY The therapeutic results in Military Medicine, witch is an important aspect of Disaster Medicine, is related to logestic, personal, carriage and medical supply facilities. On the other hand, it is also related to the surgeon's knowledge of the balestic effects of flying objects, time limitations and wound contamination. From 522 adbominal trauma patients injured by bullets and quiverals admitted in two, Imam Hossein and Taleghani Medical Centers from 1361 to 1369, 39 martyred. 78% of patients who had sever trauma operated upon in war front and 22% with lesser injuries were operated in the first city. From these 7% and 7.3% martyred respectively. 38.3% of martyrs were under 20 and 48.7% were between 20 - 29. There was a direct relationship between the number of injured organs and mortality, which was 2.8% with one 6.4% with two, 5.7% with three, 16.2% with four, 36.8% with five, 40% with six and 42.8% with seven organ injuried. The prevalence of specific organ injuries in the injured and martyred victims respectively were as follows: Large bowel 59.2% , 64.1% Small bowel 306% 38.5% Liver 13.6%, 25.6% Stomach 78%, 17.9% Spleen 7.4%, 10.3% Kidney 5.3%, 7.7% Pancreas 2.4%, 2.6% Deudenum 2.2%. Zero Small and large bowel were the only organs in which even single injury resulted in martyrdom. The final causes of martyrdom were septic shock in 81%, acute renal failure and distress ulcer each in 17.9% and ARDS in 15.3%.