Kurt N, Küçük H F, Celik G, Demirhan R, Gül O, Altaca G
Ulus Travma Derg. 2001 Jan;7(1):49-51.
This study describes the experience of Kartal Research and Training Hospital in the Marmara Earthquake. We reviewed medical records of 698 patients admitted to our hospital in a 30 days' period after the earthquake and analysed the types of injuries, treatment, morbidity and mortality rates. The hospitalized 273 patients were grouped according to the major injury; patients with crush syndrome were analysed separately. The most frequent injuries were crush injury (23.1%), extremity fractures (16.8%) and pelvis and spine injuries (16.1%). More than two system injuries were seen most frequently in the abdominal injury (45.5%), crush injury (24.4%), and pelvis and spine injury (27.3%) groups (p < 0.05). Overall mortality rate was 7.3%. The highest mortality rates were seen in the abdominal injury (27.3%) and crush injury (20%) groups (p < 0.05). 61.9% of the patients with crush syndrome underwent fasciotomy due to the compartment syndrome; hemodialysis was performed in 31 patients. The most serious problem with earthquake is organization in the earthquake area, between hospitals and in hospitals. Crush injury is the major injury seen earthquakes. Early diagnosis and proper treatment should be done to improve survival.
本研究描述了卡尔塔尔研究与培训医院在马尔马拉地震中的经历。我们回顾了地震后30天内收治于我院的698例患者的病历，并分析了损伤类型、治疗情况、发病率和死亡率。将273例住院患者按主要损伤进行分组；挤压综合征患者单独分析。最常见的损伤为挤压伤（23.1%）、四肢骨折（16.8%）以及骨盆和脊柱损伤（16.1%）。多系统损伤在腹部损伤组（45.5%）、挤压伤组（24.4%）以及骨盆和脊柱损伤组（27.3%）中最为常见（p<0.05）。总体死亡率为7.3%。腹部损伤组（27.3%）和挤压伤组（20%）的死亡率最高（p<0.05）。61.9%的挤压综合征患者因骨筋膜室综合征接受了筋膜切开术；31例患者进行了血液透析。地震最严重的问题在于地震区域、医院之间以及医院内部的组织协调。挤压伤是地震中出现的主要损伤。应尽早诊断并进行恰当治疗以提高生存率。
