Leong-Nowell Tamara Ah, Leavai Foloto, Ah Ching Lucilla, Fiu Limbo, Wyber Rosemary, Nisbet Mitzi, Jones David, Blackmore Tim, Ioane-Cleverley Tupu
Internal Medicine, Tupua Tamasese Meaole National Hospital, Apia, Samoa.
N Z Med J. 2012 Jan 20;125(1348):70-8.
On 29 September 2009, a large tsunami struck the Samoan Islands in the South Pacific Ocean, causing 142 deaths and large numbers of casualties. 199 patients presented to the emergency department within the first 72 hours. Twenty-nine patients were admitted with respiratory symptoms and histories of aspirating contaminated seawater and were diagnosed with tsunami-associated aspiration pneumonia. These patients were initially treated with empiric antibiotics based on drug availability and published experience after the Asian Boxing Day Tsunami of 2006. Antibiotic treatment was subsequently modified with sputum culture information. The good outcomes of the Samoa Tsunami patients may be attributed to early initiation of appropriate antibiotics and timely coordinated management.
2009年9月29日，一场大海啸袭击了南太平洋的萨摩亚群岛，造成142人死亡和大量人员伤亡。在最初的72小时内，有199名患者前往急诊科就诊。29名患者因出现呼吸道症状且有吸入受污染海水的病史而入院，并被诊断为与海啸相关的吸入性肺炎。这些患者最初根据药物可及性以及2006年亚洲节礼日海啸后的公开经验接受经验性抗生素治疗。随后根据痰培养结果调整抗生素治疗。萨摩亚海啸患者的良好预后可能归因于早期开始使用适当的抗生素以及及时的协调管理。
