Hu Yang, Zheng Xi, Yuan Yong, Pu Qiang, Liu Lunxu, Zhao Yongfan
Department of Thoracic Surgery,West China Hospital of Sichuan University,Chengdu 610041,China.
Lung Cancer Treatment Center,West China Hospital of Sichuan University,Chengdu 611135,China.
Disaster Med Public Health Prep. 2014 Dec;8(6):541-7. doi: 10.1017/dmp.2014.131. Epub 2014 Dec 17.
We aimed to compare injury characteristics and the timing of admissions and surgeries in the Wenchuan earthquake in 2008 and the Lushan earthquake in 2013.
We retrospectively compared the admission and operating times and injury profiles of patients admitted to our medical center during both earthquakes. We also explored the relationship between seismic intensity and injury type.
The time from earthquake onset to the peak in patient admissions and surgeries differed between the 2 earthquakes. In the Wenchuan earthquake, injuries due to being struck by objects or being buried were more frequent than other types of injuries, and more patients suffered injuries of the extremities than thoracic injuries or brain trauma. In the Lushan earthquake, falls were the most common injury, and more patients suffered thoracic trauma or brain injuries. The types of injury seemed to vary with seismic intensity, whereas the anatomical location of the injury did not.
Greater seismic intensity of an earthquake is associated with longer delay between the event and the peak in patient admissions and surgeries, higher frequencies of injuries due to being struck or buried, and lower frequencies of injuries due to falls and injuries to the chest and brain. These insights may prove useful for planning rescue interventions in trauma centers near the epicenter.
我们旨在比较2008年汶川地震和2013年芦山地震中的损伤特征、入院时间及手术时间。
我们回顾性地比较了两次地震期间入住我们医疗中心的患者的入院时间、手术时间及损伤情况。我们还探究了地震强度与损伤类型之间的关系。
两次地震中，从地震发生到患者入院及手术高峰的时间有所不同。在汶川地震中，被物体击中或掩埋导致的损伤比其他类型的损伤更常见，且四肢受伤的患者多于胸部受伤或脑外伤患者。在芦山地震中，跌倒为最常见的损伤，且胸部外伤或脑损伤患者更多。损伤类型似乎随地震强度而变化，而损伤的解剖位置则不然。
地震强度越大，事件与患者入院及手术高峰之间的延迟时间越长，被击中或掩埋导致的损伤频率越高，跌倒及胸部和脑部损伤的频率越低。这些见解可能对震中附近创伤中心的救援干预规划有用。
