Wen Wu, Shi Song, Zhu Min-Hui, Dong Yu-Chao
Department of Otorhinolaryngology Head and Neck Surgery, Changhai Hospital of Second Military Medical University, Shanghai 200433, China.
Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2008 Sep;43(9):650-2.
The epidemic data of Wenchuan area earthquake trauma of ear, nose and throat were investigated.
Affected families and sufferers of part of disaster area in Sichuan province in 2008 were investigated with emphasis on severity, cause and treatment of otorhinolaryngologic trauma.
Two hundred and twenty-seven cases of otorhinolaryngologic trauma in survival crowd 3 days after earthquake were included in this study. Most of them were minor trauma or complex lesion. There were 185 cases of soft tissue wound in head and face, 13 cases of fracture of the nose, 18 cases of hemorrhage of the nose, 7 cases of fracture of the skull base, 4 cases of lacerated wound of the auricle. Diagnosis and management were carried out by medical aid post and field ambulance on different condition. The methods of treatment included debridement and suture of soft tissue wound and positioning of fracture. If there was serious injury and accompanied complex lesion, the patients should be sent to hospital after emergent treatment. Forty-six cases were treated in medical aid post, except 3 cases of complex lesion by transportation, 43 cases recovered in 5 to 10 days after treatment. One hundred and eighty-one cases were treated in field ambulance, except 3 cases with fracture of skull base by transportation. Among 31 hospitalized patients, 26 recovered and were discharged before 26th of may, 5 were still in ward because of complex lesion. Among 147 cases treated out of wards with soft tissue wound, 146 cases recovered and bone fracture in rehabilitation. 1 case of lacerated wound of auricle was infected with delayed healing. There were no complication in all cases.
For earthquake trauma of the ear, nose and throat, emergent management are debridement, suture and positioning of fracture. For seriously injured patient, transportation to hospital in time can decrease complications and death rate.
调查汶川地区耳鼻咽喉地震创伤的流行病学资料。
对四川省部分受灾地区2008年的受灾家庭及患者进行调查，重点调查耳鼻咽喉创伤的严重程度、致伤原因及治疗情况。
本研究纳入地震后3天存活人群中的227例耳鼻咽喉创伤患者。多数为轻伤或复合伤。其中头面部软组织伤185例，鼻骨骨折13例，鼻出血18例，颅底骨折7例，耳廓裂伤4例。根据不同情况由医疗救治点及现场急救车进行诊断及处理。治疗方法包括软组织伤口清创缝合及骨折复位。伤情严重且伴有复合伤者，经急救处理后送医院治疗。46例在医疗救治点治疗，除3例复合伤转院外，43例治疗后5至10天痊愈。181例在现场急救车治疗，除3例颅底骨折转院外。31例住院患者中，26例于5月26日前痊愈出院，5例因复合伤仍在病房。147例软组织伤在病房外治疗，146例痊愈，骨折在康复中。1例耳廓裂伤感染，愈合延迟。所有病例均无并发症发生。
对于耳鼻咽喉地震创伤，紧急处理为清创、缝合及骨折复位。对重伤患者及时送医院可降低并发症及死亡率。
