Yu Mengyang, Lv Qi, Ding Hui, Zeng Xihuan, Cao Juan, Liu Jinyang, Fan Haojun, Hou Shike
Institute of Disaster Medicine and Public Health, Affiliated Hospital of Logistic University of the Chinese People's Armed Police Force (PAP), Tianjin, China.
Institute of Disaster Medicine and Public Health, Affiliated Hospital of Logistic University of the Chinese People's Armed Police Force (PAP), Tianjin, China.
Burns. 2016 Aug;42(5):1133-1140. doi: 10.1016/j.burns.2016.03.004. Epub 2016 Jun 14.
To perform a descriptive analysis of blast injury patients from the Tianjin explosions that occurred August 12, 2015 and provide a reference for triage and treatment of patients in similar situations in the future.
The medical records of patients with blast injuries admitted to our hospital following the 2015 Tianjin explosions were retrospectively reviewed. The results were compared with the literature for other recent mass casualty events.
The 75 patients with blast injuries included 58 men (77.3%) and 17 women (22.7%), who had an average age of 36.39±12.3 years. Multidimensional injuries affecting almost every organ system were observed in these patients. The distribution of the types of blast injuries included 36 (48.0%) with primary blast injuries, 63 (84.0%) with secondary injuries, 33 (44.0%) with tertiary injuries and 32 (42.6%) with quaternary injuries. A total of 52 (69.3%) patients suffered more than two types of blast injury. Burns affecting different areas and different depths were present in 41.3% of the patients with blast injuries, and these were divided into the following four groups: a minor group (18.7%), a moderate group (10.7%), a severe group (5.3%), and an extra severe group (6.7%). The total body surface area (TBSA) affected by the burn ranged from 1% to 75%. Additionally, 6.7% of the patients were diagnosed with an inhalational injury, and 2.7% of the patients were diagnosed with chemical poisoning. There were significant differences in the department distribution (especially in the burn unit and ophthalmology department) and ICU treatment between civilians and firefighters.
Various types of injury, with overlapping injuries present in many patients, were observed in the victims after the Tianjin explosions. An evaluation of the distribution of blast injuries is important for optimizing strategies to triage and treat survivors after mass casualty events.
对2015年8月12日天津爆炸事件中的爆炸伤患者进行描述性分析，为今后类似情况下患者的分诊和治疗提供参考。
回顾性分析2015年天津爆炸事件后我院收治的爆炸伤患者的病历。将结果与近期其他大规模伤亡事件的文献进行比较。
75例爆炸伤患者中，男性58例（77.3%），女性17例（22.7%），平均年龄36.39±12.3岁。这些患者出现了几乎累及每个器官系统的多维度损伤。爆炸伤类型分布为：原发性爆炸伤36例（48.0%），继发性损伤63例（84.0%），三级损伤33例（44.0%），四级损伤32例（42.6%）。共有52例（69.3%）患者遭受两种以上类型的爆炸伤。41.3%的爆炸伤患者存在不同部位、不同深度的烧伤，分为以下四组：轻度组（18.7%）、中度组（10.7%）、重度组（5.3%）和特重度组（6.7%）。烧伤累及的全身表面积（TBSA）范围为1%至75%。此外，6.7%的患者被诊断为吸入性损伤，2.7%的患者被诊断为化学中毒。平民和消防员在科室分布（尤其是烧伤科和眼科）和重症监护病房治疗方面存在显著差异。
天津爆炸事件受害者出现了各种类型的损伤，许多患者存在复合伤。评估爆炸伤的分布情况对于优化大规模伤亡事件后幸存者的分诊和治疗策略很重要。
