Elmi Asghar, Ganjpour Sales Jafar, Tabrizi Ali, Soleimanpour Jafar, Mohseni Mohammad Ali
Department of Orthopedics and Trauma Surgery, Shohada Educational Hospital, Tabriz University of Medical Sciences, Tabriz, IR Iran.
Trauma Mon. 2013 Spring;18(1):3-7. doi: 10.5812/traumamon.8322. Epub 2013 May 26.
Evaluating demographic characteristics, distribution and types of orthopedic injuries following major earthquakes may be helpful in future planning for disasters.
This study aimed to analyze data from trauma patients with extremity injury resulting from the earthquakes of East Azerbaijan, Iran.
Medical records of 686 patients admitted to Shohada hospital, Trauma Center of Tabriz University of Medical Sciences were reviewed. There were 200 patients with extremity injury assessed. Demographic characteristics and patterns of injuries in these patients were evaluated.
In this study, there were 105 females (52.5%) and 95 males (47.5%), out of which, 6 (3%) patients with associated severe head injuries died. The most common sites of injury were lower extremities (81 patients, 41.5% of total victims) while 32 patients (16%) suffered from both upper and lower extremity injuries. Open Fractures were seen in lower extremities of 26 (13%) patients. Compartment syndrome was observed in 3 (1.5%) patients with lower limb fractures. Also, 42 (21%) patients living in Tabriz were injured while they were running away (falling down the stairs and jumping out of windows).
Extremity injuries especially open fractures of lower limbs account for the majority of hospitalized victims. Compartment syndrome is one of the main problems that should be addressed. Our study demonstrates that people still need more education regarding earthquakes and the government should direct more attention to this issue.
评估大地震后骨科损伤的人口统计学特征、分布及类型，可能有助于未来的灾难规划。
本研究旨在分析伊朗东阿塞拜疆地震导致的肢体创伤患者的数据。
回顾了大不里士医科大学创伤中心Shohada医院收治的686例患者的病历。其中有200例肢体损伤患者接受了评估。对这些患者的人口统计学特征和损伤模式进行了评估。
本研究中，有105名女性（52.5%）和95名男性（47.5%），其中6例（3%）伴有严重头部损伤的患者死亡。最常见的损伤部位是下肢（81例患者，占总受害者的41.5%），而32例患者（16%）上下肢均受伤。26例（13%）患者下肢出现开放性骨折。3例（1.5%）下肢骨折患者出现骨筋膜室综合征。此外，42例（21%）居住在大不里士的患者在逃跑时受伤（从楼梯上摔倒或跳出窗户）。
肢体损伤尤其是下肢开放性骨折占住院受害者的大多数。骨筋膜室综合征是需要解决的主要问题之一。我们的研究表明，人们仍然需要更多关于地震的教育，政府应该更加关注这个问题。
