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[汶川地震中伴有耳鼻咽喉科症状损伤的解剖学分析]

[Anatomic analysis of Wenchuan earthquake injuries with otorhinolaryngology symptoms].

作者信息

Wang Jie, Liu Qing-Jun, Liu Guo-Qi, Yin Jian-Ping, Liu Yong, Yang Hong-Mei, Qiao Cheng-De, Yin Wei-Min, Wang Zhong-Hua, Xia Shi-Quan

机构信息

Department of Otorhinolaryngology, Mianyang Central Hospital, Sichuan 621000, China.

出版信息

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2008 Sep;43(9):647-9.

PMID:19035255
Abstract

OBJECTIVE

To analyze the injuries after the earthquake with otorhinolaryngology symptoms and the characteristics of with injuries and to provide some information when dealing with similar disasters in the future.

METHODS

The basic information of earthquake-related injuries with otorhinolaryngology symptoms was collected in 11 large and medium-sized hospitals (including foreign medical teams) in Mianyang City and the surrounding four hard-hit counties. Their characteristics were analyzed together.

RESULTS

There were 289 patients that have otorhinolaryngology symptoms in the 11 included hospitals, among them there were 217 cases have definite records that could be analyzed. The data showed that damage to ear and head and neck injuries as the main symptoms was large proportion of injuries suffer multiple fractures and soft tissue injuries such as skin abrasions . Nose injury and facial fractures were also common. Orbital fracture and eye damage could be combined occurred. Brain injury and skull fractures often occurred while trachea and throat injury was rare happened.

CONCLUSIONS

Different disaster cause different damage. After the establishment of disaster-related injuries in professional spectrum more active and effective could be behaved in life rescue and the arrangement of personnel and material when dealing with similar situations.

摘要

目的

分析地震后出现耳鼻咽喉科症状的损伤情况及其特点,为今后应对类似灾害提供参考。

方法

收集绵阳市及周边4个重灾县11家大中型医院(包括外地医疗队)地震相关耳鼻咽喉科损伤的基本资料,并对其特点进行综合分析。

结果

纳入的11家医院中有289例患者出现耳鼻咽喉科症状,其中217例有明确记录可供分析。数据显示,以耳部及头颈部损伤为主要症状者占较大比例,损伤多伴有多处骨折及软组织损伤如皮肤擦伤等。鼻损伤及面部骨折也较为常见。眼眶骨折与眼部损伤可合并发生。脑损伤及颅骨骨折常同时出现,而气管及咽喉损伤较少发生。

结论

不同灾害造成的损伤不同。在应对类似情况时,明确灾害相关损伤的专业范畴后,在生命救援及人员、物资调配等方面可表现得更加积极有效。

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