上午 10 点半左右，在也门西南部政府控制城市泰兹的共和医院透析中心，一台机器开始为奥马尔·穆赫塔尔·哈穆德的血液过滤多余液体、毒素和盐分。这名 16 岁少年患有肾衰竭，是该中心 270 名定期接受透析治疗的患者之一。但随着基本医疗物资和燃料在胡塞武装重新实施的围困下严重短缺，医生担心可能很快无法提供维持患者生命的治疗。
It was approaching 10:30am in the dialysis centre of the Republican Hospital in Taiz when a machine began filtering excess fluids, toxins and salts from the blood of Omar Mukhtar Hammoud. The 16-year-old suffers from kidney failure and is one of 270 patients who regularly receive dialysis at the centre in the government-held city in southwest Yemen. But with essential medical supplies and fuel running critically low under the renewed Houthi siege doctors fear they may soon be unable to provide the treatment that keeps their patients alive.
该中心主任伊萨姆·马尤卜·达汉医生警告说，中心可能在几天内彻底停止运转。
Dr Essam Mahyoub Dahan, the centre’s director, warned that a complete shutdown could happen within days.
达汉对半岛电视台表示：“由于围困以及柴油和医疗透析液短缺，我们最近被迫将透析时长从四小时缩减至仅两个半小时。我们知道这远远不够，但如果想让中心尽可能多维持一段时间运转、避免彻底关闭，我们别无选择。”达汉说，中心剩余的专用透析液库存也即将耗尽。
“Because of the siege and the shortage of diesel and medical solutions, we have recently been forced to reduce dialysis sessions from four hours to just two and a half,” Dahan told Al Jazeera. “We know this is not adequate, but we have no choice if we are to keep the centre operating for as long as possible before it shuts down completely.”Dahan said the centre’s remaining stocks of specialised dialysis solutions were also close to running out.
这些价格昂贵的物资通常由也门卫生部每三个月供应一次。但原定于本月初到货的最新一批物资，因胡塞武装对泰兹市的围困而未能送达。该围困始于 10 月第一周，此前胡塞武装在泰兹郊区取得进展。
The supplies, which are expensive, are normally provided by the Yemeni Ministry of Health every three months. But the latest delivery which was due earlier this month failed to arrive because of the Houthi siege on Taiz city. It began in the first week of October after Houthi advances in the Taiz countryside.
在也门持续战争的早期，即 2015 年至 2016 年间，该城市曾一度处于胡塞武装的全面围困之下。
The city was previously under complete Houthi siege between 2015 and 2016, in the early years of Yemen’s ongoing war.
在泰兹省，沙特支持的也门政府军与伊朗结盟的胡塞武装战士战事正酣，面临风险的患者数量远超此数。
Across Taiz governorate, where battles are raging between the Saudi-backed Yemeni government forces and Iranian-allied Houthi fighters, the number of patients at risk is far greater.
10月12日，该省卫生办公室在一份声明中警告称，持续的围困和对基本物资的阻挠可能危及1110名肾衰竭患者的生命。他们依赖该省医院提供的透析服务，这些医院每天总共提供约210次透析治疗。
In an October 12 statement, the governorate’s health office warned that the continued siege and obstruction of essential supplies could endanger the lives of 1,110 patients with kidney failure. They depend on dialysis services in the governorate’s hospitals, which collectively provide about 210 dialysis sessions a day.
国际人道主义和卫生组织也发出了类似警告，指出围困对塔伊兹本已脆弱的医疗体系造成的影响。
International humanitarian and health organisations have issued similar warnings about the impact of the siege on the already fragile healthcare system in Taiz.
周四，国际特赦组织呼吁胡塞武装立即重新开放通往该市及周边地区的重要道路，警告称塔伊兹与南部港口城市亚丁之间主要道路的关闭，威胁到数十万平民将失去获取食物、水和医疗服务的途径。
On Thursday, Amnesty International called on the Houthis to immediately reopen vital roads into and around the city, warning that the closure of the main road between Taiz and the southern port city of Aden threatened hundreds of thousands of civilians with losing access to food, water and healthcare.
燃油：医院的生命线 塔伊兹的医院严重依赖柴油发电机供电，因为该市大部分电力基础设施在11年前爆发的战争中被毁，至今未获修复。
Fuel: A lifeline for hospitals Taiz’s hospitals depend heavily on diesel-powered generators because much of the city’s electricity infrastructure was destroyed during the war that began 11 years ago and has not been restored.
胡塞武装重新实施的围困严重阻碍了燃油的进入，包括维持医院发电机和救命医疗设备运转所需的柴油。
The renewed Houthi siege has severely disrupted the entry of fuel, including the diesel needed to run hospital generators and lifesaving medical equipment.
共和医院技术事务副院长沙希德·阿尔-阿梅里医生表示，短缺对医疗服务造成了毁灭性影响。
Dr Shaheed al-Ameri, deputy director-general for technical affairs at the Republican Hospital, said the shortages have had a devastating impact on medical services.
“很大一部分痛苦是因为柴油短缺造成的，”他告诉半岛电视台。“我们没有储备柴油。围困伊始我们的库存就耗尽了，现在几乎每天都在黑市购买，价格已涨至围困前的五倍。”阿梅里警告称，围困持续的时间越长，价格涨得越高，医疗服务恶化得越严重。他表示，医院已经暂停了一些科室的运作，包括基本单元。
“A very large part of this suffering is because of the shortage of diesel,” he told Al Jazeera. “We have no reserve diesel supplies. Our stocks ran out early in the siege and we are now buying it on the black market almost every day, at prices that have reached five times what they were before the siege.”Al-Ameri warned that the longer the siege continues, the more prices will rise and the further medical services will deteriorate. The hospital has already suspended operations in some departments, including essential units, he said.
“如果这种情况持续更长时间，我们担心将面临医疗服务的全面彻底崩溃，”他说。
“If this situation continues much longer, we fear we will reach a complete and comprehensive collapse of healthcare services,” he said.
短缺并不局限于共和医院。10月22日，世界卫生组织（WHO）警告称，燃料、氧气、药品和医疗物资的严重短缺正威胁着塔伊兹省挽救生命的医疗服务，部分医院服务已中断。
The shortages are not confined to the Republican Hospital. On October 22, the World Health Organization (WHO) warned that critical shortages of fuel, oxygen, medicines and medical supplies were threatening lifesaving healthcare throughout Taiz governorate, with some hospital services already disrupted.
据世卫组织称，塔伊兹市有42家卫生设施报告基本物资严重短缺。医院和救护车每月至少需要156,000升燃料才能维持运转。
According to the WHO, 42 health facilities in Taiz city had reported severe shortages of essential supplies. Hospitals and ambulances require at least 156,000 litres of fuel a month to continue functioning.
该组织还警告称，柴油短缺恐将扰乱氧气生产、水泵抽水、疫苗冷藏和环卫服务，增加疾病暴发风险，特别是在流离失所家庭和其他弱势群体中。
The organisation also warned that diesel shortages threaten to disrupt oxygen production, water pumping, vaccine refrigeration and sanitation services, increasing the risks of disease outbreaks, particularly among displaced families and other vulnerable groups.
联合国另行警告称，供应限制使塔伊兹的卫生系统濒临崩溃，并敦促胡塞武装允许人道主义援助和基本物资无阻碍地进入。
The United Nations has separately warned that the restrictions on supplies are bringing Taiz’s health system close to collapse and urged the Houthis to allow humanitarian assistance and essential goods to enter without obstruction.
氧气短缺加剧危机 在10月12日的声明中，塔伊兹卫生局警告称，持续限制燃料运送可能导致医用氧气生产厂关闭，进一步危及患者。
Oxygen shortages deepen crisis In its October 12 statement, Taiz’s health office warned that continued restrictions on fuel deliveries could lead to the shutdown of medical oxygen production plants, further endangering patients.
塔伊兹卫生局媒体官员泰西尔·萨迈伊表示，这将使危机急剧恶化。
Taysir al-Samei, the health office’s media officer, said that would dramatically worsen the crisis.
“许多医疗科室依赖氧气，特别是手术室、住院病房、重症监护室和早产儿保温箱，”萨迈伊说。
“Many medical departments depend on oxygen, particularly operating theatres, inpatient wards, intensive care units and incubators for premature babies,” al-Samei said.
他补充道：“由于柴油短缺、必要医疗溶液缺乏，以及因交通不便导致医护人员难以上班，大多数医院已暂停部分科室的服务。”
“Most hospitals have already suspended services in some units because of the shortage of diesel and the lack of necessary medical solutions, as well as shortages of medical staff who are struggling to get to work because of the lack of transport,” he added.
他警告称，如果条件继续以同样的速度恶化，一些医院可能在未来几天内停止提供服务。
He warned that if conditions continued to deteriorate at the same pace, some hospitals could stop providing services in the coming days.
在共和医院，阿拉梅里表示，短缺也正在影响诊断和治疗。他说，实验室试剂的可用量已降至以往水平的仅 10% 至 15%，而通常可用的药物中约有一半目前已断货。
At the Republican Hospital, al-Ameri said that shortages were also affecting diagnostics and treatment. The availability of laboratory reagents had fallen to just 10 to 15 percent of previous levels, he said, while approximately half of the medicines normally available were now out of stock.
他说，剩余药物的价格已翻倍，对于在也门日益恶化的经济危机中挣扎的患者来说，这些药物更加遥不可及。
Prices for the remaining medicines had doubled, he said, placing them further out of reach for patients already struggling with Yemen’s worsening economic crisis.
塔伊兹周边持续的战斗和炮击增加了需要紧急救治的伤员数量，给本已因手术用品、麻醉剂和静脉输液短缺而苦苦支撑的医疗机构带来了额外压力。
The continued fighting and shelling around Taiz have increased the number of wounded people requiring emergency care – placing additional pressure on facilities already struggling with shortages of surgical supplies anaesthetics and intravenous fluids.
53 岁的阿卜杜勒·巴迪·阿卜杜勒瓦哈卜是共和医院的另一名透析患者，正努力应对缩短的透析时长。他的声音充满了绝望。
Abdul Badi Abdulwuhab, 53, is another dialysis patient in the Republican Hospital, struggling to cope with the shorter dialysis sessions. His voice was filled with desperation.
“由于这些措施，我感到虚弱，无法忍受这种痛苦，”阿卜杜勒·巴迪告诉半岛电视台。“两个半小时不足以清除我体内所有的液体和毒素。”达汉医生表示，自从透析时长缩短以来，该患者的病情已恶化。
“Because of these measures, I suffer from weakness and I cannot bear the pain,” Abdul Badi told Al Jazeera. “Two and a half hours is not enough to remove all the fluids and toxins from my body.”Dr Dahan said that the patient’s condition had deteriorated since his sessions were shortened.
“这些措施对许多患者无效，”达汉说。“唯一的解决办法是结束围困，恢复原状。”
“These measures are not effective for many patients,” Dahan said. “The only solution is to end the siege and return things to the way they were.”