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2008年5月12日汶川地震受害者的损伤类型:江油市1038例患者分析

Injury types of victims in the 12th May 2008 Wenchuan earthquake: analysis of 1,038 patients in Jiangyou City.

作者信息

Fan Z, Li A, Lian B, Zhou W, Wei H, Chen C, Xu P

机构信息

Eastern Hepatobiliary Surgery Hospital, Second Medical Military University, Shanghai, 200438, China.

Department of Health Services, Second Military Medical University, Shanghai, 200433, China.

出版信息

Eur J Trauma Emerg Surg. 2011 Feb;37(1):3-7. doi: 10.1007/s00068-010-0045-6. Epub 2010 Sep 23.

Abstract

BACKGROUND

On 12th May 2008, a devastating earthquake of magnitude 8.0 struck Wenchuan, Sichuan Province of China, resulting in tremendous loss of lives and property.

METHODS

We conducted an analysis of the types and distribution of the injuries among the wounded treated by a medical rescue team within 1 month following the Wenchuan earthquake in Jiangyou City.

RESULTS

Within 1 month following the earthquake, 3,038 patients sustaining various traumatic injuries were treated in the emergency medical facility established based in a local hospital. Of these patients, 1,065 were hospitalized, including more female than male patients, with an average age of 40.2 years. Most of the patients sustained injuries in Pingwu County, which experienced a seismic intensity of level XI. The majority (91.4%) of the hospitalized patients were admitted in the initial 4 days after the earthquake. The injuries were classified into soft tissue injuries (48.0%), fractures (40.0%), complex injuries (3.1%), and other injuries. The injuries involved most frequently the head and face (28.5%), followed by the upper and lower limbs, chest and back, waist and abdomen, pelvis, and spine. Multiple injuries (15.4%) were also common among these patients.

CONCLUSION

The devastating earthquake resulted in a large number of patients with soft tissue injuries frequently in the head and fractures involving mainly the limbs, especially the upper limbs. The injuries sustained in earthquakes are usually serious and complex, often with such complications as shock, infection, and crush syndrome. Multiple injuries are common in the event of an earthquake.

摘要

背景

2008年5月12日,中国四川省汶川县发生了里氏8.0级的毁灭性地震,造成了巨大的生命和财产损失。

方法

我们对江油市一支医疗救援队在汶川地震后1个月内救治的伤员的损伤类型和分布进行了分析。

结果

地震后1个月内,在当地一家医院设立的紧急医疗设施中,共治疗了3038例遭受各种创伤的患者。其中,1065例住院治疗,女性患者多于男性患者,平均年龄为40.2岁。大多数患者在平武县受伤,平武县地震烈度为XI度。大多数(91.4%)住院患者在地震后的最初4天内入院。损伤分为软组织损伤(48.0%)、骨折(40.0%)、复合伤(3.1%)和其他损伤。损伤最常累及头面部(28.5%),其次是上肢和下肢、胸部和背部、腰部和腹部、骨盆以及脊柱。多发伤(15.4%)在这些患者中也很常见。

结论

这场毁灭性地震导致大量患者出现头面部软组织损伤频繁、骨折主要累及四肢尤其是上肢的情况。地震中遭受的损伤通常严重且复杂,常伴有休克、感染和挤压综合征等并发症。地震中多发伤很常见。

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