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[汶川地震灾区头颈部创伤的调查与处理]

[Investigation and management of wound on head and neck from the disaster area in Wenchuan earthquake].

作者信息

Liu Han-Qiang, Yang Shi-Ming, Xu Hui, Iju Hui, Dou Yan-Ling, Fu Ming-Liang, Bu Rong-Fa, Yu Xin-Guang, Yang Wei-Yan

机构信息

Department of Otorhinolaryngology, No. 452 Hospital of People's Liberation Army, Chengdu 610021, China.

出版信息

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2008 Sep;43(9):643-6.

PMID:19035254
Abstract

OBJECTIVE

To investigate and analyze the wounded's state of ear, nose, throat, neck and head injury in Wenchuan earthquake.

METHODS

The 206 wounded cases, who was treated in No. 452 Hospital of People's Liberation Army, were investigated specially with emphasis on injury cause, severity and treatment.

RESULTS

The injured 165 cases among the 206 were in hospital, while the cases who related to the injury of ear, nose and throat were 37 cases (22.4%). Among the inpatients, the trauma of otorhinolaryngology and head and neck included: ear injuries totally 13 cases (including hemotympanum 2 cases), extraneous matter 4 cases, haemorrhagic 4 cases, nasalis and the fracture of nasal bone and nasal sinuses 7 cases (including cerebrospinal rhinorrhea 1 case), zygomatic abscess 1 case, fracture of mandible 4 cases, lip injuries 2 cases and hoarse 2 cases. The inpatients were wounded mostly because of falling and stepping. All the inpatients recovered well after properly management by ENT doctors.

CONCLUSIONS

Maxillofacial injury of the wounded those were medical evacuation in the earthquake area, was ignored more readily comparing to the injury of other spots, so specialist should examine early and treat properly the people as soon as possible.

摘要

目的

调查分析汶川地震伤员的耳、鼻、喉、颈及头部损伤情况。

方法

对解放军第452医院收治的206例伤员进行专项调查,重点了解其受伤原因、损伤程度及治疗情况。

结果

206例伤员中165例住院,其中耳鼻咽喉损伤37例(占22.4%)。住院伤员的耳鼻咽喉及头颈部外伤包括:耳部损伤共13例(其中鼓膜积血2例)、外耳道异物4例、出血4例、鼻及鼻骨和鼻窦骨折7例(其中脑脊液鼻漏1例)、颧骨脓肿1例、下颌骨骨折4例、唇部损伤2例、声音嘶哑2例。住院伤员多因坠落和踩踏受伤。经耳鼻咽喉科医生妥善处理后,所有住院伤员恢复良好。

结论

地震灾区转运伤员的颌面损伤较其他部位损伤更易被忽视,专科医生应尽早检查并及时妥善处理。

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