Cammack Frances, Shipton Edward A
Department of Anaesthesia, Christchurch Hospital, Christchurch 8001, New Zealand.
Case Rep Med. 2013;2013:973234. doi: 10.1155/2013/973234. Epub 2013 Jul 11.
On February 22, 2011, an earthquake of magnitude 6.3 struck Christchurch, New Zealand. The peak ground acceleration, a measure of the shaking or intensity of an earthquake, was one of the highest ever recorded worldwide. One hundred and eighty-five people lost their lives; many others were injured. Two cases both involving young women are presented; they sustained crush injuries to limbs after being trapped by falling debris and went on to develop severe neuropathic pain. This report examines the mechanisms of neuropathic pain in the setting of crush injury, the treatment modalities, and the association between chronic pain and posttraumatic stress disorder. These case reports highlight the fact that crush injury is relatively common during major earthquakes and that neuropathic pain is an important sequel of this. Post-traumatic stress disorder is common in earthquake survivors with a recognised association with chronic pain. Pain-related disability may increase as well. Issues such as chronic pain and physical disability should not be overlooked as attention focuses on disaster management and the treatment of life-threatening injuries.
2011年2月22日，新西兰克赖斯特彻奇发生了6.3级地震。地面峰值加速度是衡量地震震动或强度的指标，此次地震的地面峰值加速度是全球有记录以来最高的之一。185人丧生，还有许多人受伤。本文介绍了两例均涉及年轻女性的病例；她们在被坠落的废墟困住后四肢受到挤压伤，并继而发展为严重的神经性疼痛。本报告探讨了挤压伤所致神经性疼痛的机制、治疗方式以及慢性疼痛与创伤后应激障碍之间的关联。这些病例报告凸显了这样一个事实，即在重大地震期间挤压伤相对常见，且神经性疼痛是其重要的后遗症。创伤后应激障碍在地震幸存者中很常见，且与慢性疼痛存在公认的关联。与疼痛相关的残疾情况可能也会增加。在人们将注意力集中于灾害管理和危及生命的损伤治疗时，慢性疼痛和身体残疾等问题不应被忽视。
