| Abstract | Zbrinjavanje ratnih rana tražilo je razvijanje vještina i novih saznanja o načinima saniranja ozljede. Područje glave česta je lokalizacija ozljeda koje su se javljale u ratnom razdoblju. Od svih ratnih ozljeda među najčešćima su upravo ozljede glave, zbog izlaganja glave u odnosu na ostatak tijela. Cilj provedenog istraživanja bio je istražiti hospitalizirane ozljede glave i mozga u Zakladnoj bolnici Rebro tijekom Drugog svjetskoga rata, u razdoblju od 1942.-1945. godine. Retrospektivnim istraživanjem arhivske medicinske dokumentacije dobiveni su podatci o broju kraniocerebralnih ratnih neurotrauma glave i mozga, komorbiditetu, ishodu bolesti/liječenja, duljini trajanja hospitalizacije te broju pacijenata u odnosu na spol i dob. Ukupan broj hospitaliziranih pacijenata s kraniocerebralnom ozljedom bio je 1115. Najveći broj zaprimljenih pacijenata bio je u dobnoj skupini od 20-29 godina (334; 30,9%) te 30-39 godina (269; 24,1%). Prosječna dob iznosila je 30,19 godina, s najmlađim pacijentom od osam mjeseci, a najstarijim od 94 godine. Prosječna duljina trajanja hospitalizacije bila je sedam dana kod 353 pacijenta (31,7%). Kod ishoda liječenja podatci su bili podijeljeni u četiri skupine koje su uključivale: izlječenje kod 78 pacijenata (7,0%), poboljšanje kod 899 pacijenata (80,6%), neizlječenje kod 29 pacijenata (2,6%) te umrlih 101 pacijenata (9,1%). Najčešća dijagnoza bila je prijelom donje čeljusti (29,2%), zatim slijede potres mozga (20,3%) i strijelna rana glave (19,3%), a eksplozivnih rana glave bilo je 14 (0,9%). Najveći broj umrlih pacijenata zabilježen je kod potresa mozga (commotio cerebri), njih 45 (14,52%). Na liječenje je zaprimljeno 232 (20,8%) vojnika i 883 (79,2%) civila.
Od ukupnog broja hospitaliziranih kraniocerebralnih ozljeda, tijekom ispitivanoga razdoblja zaprimljeno je na liječenje 720 (47%) neurotrauma koje su uključivale strijelne rane, eksplozivne rane neurokranija, potres mozga i frakturu lubanje. |
| Abstract (english) | Taking care of war wounds required the development of skills and new knowledge of ways to repair an injury. The head area is a common localization of injuries that occurred during the war. Of all war injuries, the most common are head injuries, due to exposure of the head to the rest of the body. The aim of the study was to investigate hospitalized head and brain injuries, especially, at the Rebro Foundation Hospital during World War II, from 1942 to 1945. A retrospective study of archival medical records provided data on the number of craniocerebral war neurotrauma of the head and brain, comorbidity, disease outcome / treatment, length of hospitalization, and number of patients in terms of gender and age. The total number of hospitalized patients with craniocerebral injury was 1115. The largest number of admitted patients was in the age group of 20-29 years (334; 30.9%) and 30-39 years (269; 24.1%). The average age was 30.19 years, with the youngest patient being eight months old and the oldest being 94 years old. The average length of hospitalization was seven days, (353; 31.7%). Data on treatment outcomes were divided into four groups that included healing, (78; 7.0%), improvement (899; 80.6%), non-healing (29; 2.6%), and deaths (101; 9.1%). The most common diagnosis was fracture of the mandible (29.2%), concussion (20.3%), gunshot wounds to the head (19.3%), and the number of explosive head wounds was 14 (0.9%). The highest death rate was recorded in concussions (commotio cerebri), 45 of them (14.52%). The number of soldiers who were admitted for treatment was 232 (20.8%) and the number of civilians was 883 (79.2%).
Of the total number of hospitalized craniocerebral injuries, 720 (47%) neurotraumas were treated during the study period, which included gunshots, explosive neurocranial wounds, concussions and skull fractures. |
