Ozener C, Ozdemir D, Bihorac A
Department of Medicine, Marmara University Hospital, Istanbul, Turkey.
Adv Perit Dial. 2000;16:182-5.
In August 1999, an earthquake of magnitude 7.8 on the Richter scale hit northwestern Turkey. The epicenter was in Izmit, an industrial town about 60 km from Istanbul. This paper presents data about the fate of CAPD patients who were living in that region at the time of the earthquake. A total of 42 continuous ambulatory peritoneal dialysis (CAPD) patients (14 females, 28 males; 37 adult patients, 5 pediatric patients) were permanent residents of the earthquake region. They were followed in the CAPD units of Marmara University Hospital (n = 6), Gata Military Hospital (n = 2), and Goztepe SSK Hospital (n = 10, including the 5 pediatric patients) in Istanbul, and in Uludag University Hospital in Bursa (n = 6) and Kocaeli University Hospital in Izmit (n = 18). Two CAPD patients, together with their families, died under the rubble in the city of Golcuk. One CAPD nurse from Kocaeli University Hospital in Izmit also died a victim of the earthquake. One patient who lived in Golcuk was under the rubble for 3 hours; she was rescued with no crush injuries and was able to continue with CAPD 24 hours after her rescue. Eight patients reported that their homes were completely destroyed during the earthquake, while nine patients reported serious damage to their houses. Ten patients had to move to other towns to live with relatives because their homes were no longer suitable for habitation, and twelve patients had to stay permanently in tents provided by the Red Cross. All of the patients were able to continue their CAPD therapy and had no interruption in the supply of their CAPD solutions. Four patients on continuous cycling peritoneal dialysis (CCPD) therapy continued to use their HomeChoice machines (Baxter Healthcare Corporation, Deerfield, IL, U.S.A.) even while living in a tent. CAPD patients from the Kocaeli University Hospital had to be temporarily referred to other CAPD centers in Istanbul and Bursa because the Kocaeli University Hospital was seriously damaged in the earthquake. We expect that these major changes in quality of life circumstances will have an important impact on the morbidity of these patients, especially in regard to the rate of peritonitis and the adequacy of dialysis.
1999年8月，土耳其西北部发生里氏7.8级地震。震中位于伊兹密特，这是一个距伊斯坦布尔约60公里的工业城镇。本文介绍了地震发生时居住在该地区的持续性非卧床腹膜透析（CAPD）患者的情况。共有42名持续性非卧床腹膜透析（CAPD）患者（14名女性，28名男性；37名成年患者，5名儿童患者）是地震地区的常住居民。他们分别在伊斯坦布尔的马尔马拉大学医院（6例）、加塔军事医院（2例）和戈兹特佩社会保障医院（10例，包括5名儿童患者），以及布尔萨的乌鲁达大学医院（6例）和伊兹密特的科贾埃利大学医院（18例）接受随访。两名CAPD患者及其家人在戈尔库克市的废墟中死亡。伊兹密特科贾埃利大学医院的一名CAPD护士也死于地震。一名居住在戈尔库克的患者被埋在废墟下3小时；她被救出时没有挤压伤，获救24小时后能够继续进行CAPD治疗。8名患者报告说他们的家在地震中完全被毁，而9名患者报告说他们的房屋严重受损。10名患者因房屋不再适合居住而不得不搬到其他城镇与亲属同住，12名患者不得不长期住在红十字会提供的帐篷里。所有患者都能够继续他们的CAPD治疗，并且CAPD溶液的供应没有中断。4名接受持续循环腹膜透析（CCPD）治疗的患者即使住在帐篷里也继续使用他们的HomeChoice机器（美国伊利诺伊州迪尔菲尔德的百特医疗保健公司）。科贾埃利大学医院的CAPD患者不得不被临时转诊到伊斯坦布尔和布尔萨的其他CAPD中心，因为科贾埃利大学医院在地震中严重受损。我们预计这些生活质量状况的重大变化将对这些患者的发病率产生重要影响，特别是在腹膜炎发生率和透析充分性方面。
