Fukuda Ikuo, Hashimoto Hiroshi, Suzuki Yasuyuki, Satomi Susumu, Unno Michiaki, Ohuchi Noriaki, Nakaji Shigeyuki
Tohoku Surgical Association.
Nihon Geka Gakkai Zasshi. 2012 Mar;113(2):241-51.
Objective of this study is to clarify damages in operating rooms after the 2011 Tohoku Earthquake.
To survey structural and non-structural damage in operating theaters, we sent questionnaires to 155 acute care hospitals in Tohoku area.
Questionnaires were sent back from 105 hospitals (70.3%). Total of 280 patients were undergoing any kinds of operations during the earthquake and severe seismic tremor greater than JMA Seismic Intensity 6 hit 49 hospitals. Operating room staffs experienced life-threatening tremor in 41 hospitals. Blackout occurred but emergency electronic supply unit worked immediately in 81 out of 90 hospitals. However, emergency power plant did not work in 9 hospitals. During earthquake some materials fell from shelves in 44 hospitals and medical instruments fell down in 14 hospitals. In 5 hospitals, they experienced collapse of operating room wall or ceiling causing inability to maintain sterile operative field. Damage in electric power and water supply plus damage in logistics made many operating rooms difficult to perform routine surgery for several days.
The 2011 Tohoku earthquake affected medical supply in wide area of Tohoku district and induced dysfunction of operating room. Supply-chain management of medical goods should be reconsidered to prepare severe natural disaster.
本研究的目的是阐明2011年东北地震后手术室的受损情况。
为了调查手术室的结构和非结构损坏情况，我们向东北地区的155家急症医院发送了调查问卷。
105家医院（70.3%）回复了问卷。地震发生时共有280名患者正在接受各类手术，49家医院遭遇了震级大于日本气象厅烈度6级的强烈地震。41家医院的手术室工作人员经历了危及生命的震动。90家医院中有81家发生了停电，但应急电子供应装置立即启动。然而，有9家医院的应急发电站无法正常工作。地震期间，44家医院有部分物资从货架上掉落，14家医院的医疗器械掉落。5家医院的手术室墙壁或天花板坍塌，导致无法维持无菌手术环境。电力和供水受损以及后勤保障受损使得许多手术室在数天内难以进行常规手术。
2011年东北地震影响了东北地区广大区域的医疗供应，并导致手术室功能失调。应重新考虑医疗物资的供应链管理，以应对严重的自然灾害。
