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[芦山和汶川地震中儿童受害者的临床特征及医疗救援经验]

[Clinical characteristics of pediatric victims in the Lushan and Wenchuan earthquakes and experience of medical rescue].

作者信息

Jiang Xin, Xiang Bo, Liu Li-Jun, Liu Min, Tang Xue-Yang, Huang Lu-Gang, Li Yuan, Peng Ming-Xing, Xin Wen-Qiong

机构信息

Department of Pediatric Surgery, Sichuan University, Chengdu, China.

出版信息

Zhongguo Dang Dai Er Ke Za Zhi. 2013 Jun;15(6):419-22.

PMID:23791053
Abstract

OBJECTIVE

To get a more comprehensive understanding of the clinical characteristics of pediatric victims in earthquake and to summarize the experience of medical rescue.

METHODS

The clinical information was collected from the pediatric victims who were admitted to West China Hospital, Sichuan University following the Lushan earthquake in 2013 and Wenchuan earthquake in 2008. The clinical data were compared between the pediatric victims in the two earthquakes.

RESULTS

Thirty-four children under 14 years of age, who were injured in the Lushan earthquake, were admitted to the West China Hospital before April 30, 2013. Compared with the data in the Wenchuan earthquake, the mean age of the pediatric victims in the Lushan earthquake was significantly lower (P<0.01), and the mean time from earthquake to hospitalization was significantly shorter (P<0.01). In the Lushan earthquake, 67.6% of the injured children had variable limb fractures; traumatic brain injury was found in 29.4% of hospitalized children, versus 9.5% in the Wenchuan earthquake (P<0.05). Among the 34 children, no amputation and death occurred, and all the 13 severe cases started to recover.

CONCLUSIONS

There were higher proportions of severely injured children and children with traumatic brain injury in the Lushan earthquake than in the Wenchuan earthquake. But these cases recovered well, which was possibly due to timely on-site rescue and transfer and multi-sector, multi-institution, and multidisciplinary cooperation.

摘要

目的

更全面地了解地震中儿童受害者的临床特征,总结医疗救援经验。

方法

收集2013年芦山地震和2008年汶川地震后入住四川大学华西医院的儿童受害者的临床信息。比较两次地震中儿童受害者的临床资料。

结果

2013年4月30日前,34名在芦山地震中受伤的14岁以下儿童被收治入华西医院。与汶川地震的数据相比,芦山地震中儿童受害者的平均年龄显著更低(P<0.01),从地震到住院的平均时间显著更短(P<0.01)。在芦山地震中,67.6%的受伤儿童有四肢骨折;29.4%的住院儿童有创伤性脑损伤,而汶川地震中这一比例为9.5%(P<0.05)。34名儿童中,无截肢和死亡发生,13例重症病例均开始康复。

结论

与汶川地震相比,芦山地震中重伤儿童和创伤性脑损伤儿童的比例更高。但这些病例恢复良好,这可能得益于及时的现场救援和转运以及多部门、多机构和多学科的合作。

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