Yi Min, Pei Fu-xing, Song Yue-ming, Yang Tian-fu, Huang Fu-guo, Tu Chong-qi, Cen Shi-qiang, Xiang Zhou, Li Jian, Liu Hao, Liu Lei, Yang Jing, Wang Guang-lin, Liu Li-Min, Shen Bin, Zhou Zong-ke, Zeng Jian-cheng
Department of Orthopaedics, West China Hospital of Sichuan University, Chengdu 610041, China.
Zhonghua Wai Ke Za Zhi. 2008 Dec 15;46(24):1853-5.
To evaluate the patients with bone injury in Wenchuan earthquake.
From May 12th to June 15th 2008 the data of 1410 patients with bone injury in Wenchuan earthquake were analyzed to evaluate clinical intervention and remedy-managing experience.
The 1410 patients average age was from 4 to 103 years old. And 744 cases (52.7%) suffered from blunt injuries, 379 cases (26.9%) from buried injuries, 287 cases (20.4%) from falling injuries; And 1317 cases were with fracture, 93 with limbs soft tissue injuries; 261 patients combined with other parts of injuries including 45 cases with paralysis; 66 cases were with crush syndrome, 25 with gas gangrene, 76 with acute kidney failure, 26 with multiple organ failure. And 912 operations were performed including 402 fracture fixation, 224 debridement, 152 debridement and suture, 85 amputation, 29 implant skin, 8 fixation of joint dislocation, 5 surgical flaps transplantation, 4 nerve and tendon suture, 2 arthroscopes, 1 joint replacement. Among the 66 crush syndrome patients, 49 accepted continuous renal replacement therapy, in which 9 cases were bleeding from named arteries and 20 blood vessels were getting embolism. Among the 1410 cases, 1 died from multiple organ failure.
Among the patients with bone injury in Wenchuan earthquake, the elderly patients are more than the youth; The injuries are always combined with other complications; Opened injuries are polluted severely; It is difficult to deal with the crush syndrome; Paraplegia cases are less, but the amputees are more.
评估汶川地震中的骨损伤患者。
分析2008年5月12日至6月15日汶川地震中1410例骨损伤患者的数据，以评估临床干预及救治经验。
1410例患者年龄4至103岁。其中744例（52.7%）为钝器伤，379例（26.9%）为掩埋伤，287例（20.4%）为坠落伤；1317例有骨折，93例有四肢软组织损伤；261例合并其他部位损伤，其中45例有瘫痪；66例有挤压综合征，25例有气性坏疽，76例有急性肾衰竭，26例有多器官功能衰竭。共进行912台手术，包括402例骨折固定、224例清创、152例清创缝合、85例截肢、29例植皮、8例关节脱位固定、5例皮瓣移植、4例神经和肌腱缝合、2例关节镜手术、1例关节置换。66例挤压综合征患者中，49例接受持续肾脏替代治疗，其中9例出现知名动脉出血，20例血管栓塞。1410例患者中，1例死于多器官功能衰竭。
汶川地震骨损伤患者中，老年患者多于青年患者；损伤常合并其他并发症；开放性损伤污染严重；挤压综合征处理困难；截瘫病例较少，但截肢患者较多。
