Department of Burns & Wound Care Center, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, 310009, China.
Key laboratory of The Diagnosis and Treatment of Severe Trauma and Burn of Zhejiang Province, Zhejiang Provincial Clinical Research Center for Emergency and Critical Disease.
J Burn Care Res. 2023 Nov 2;44(6):1492-1501. doi: 10.1093/jbcr/irad068.
On June 13, 2020, a liquefied petroleum gas tanker exploded in Wenling. Here, the authors describe the mass casualty emergency response to the explosion. The authors collected the medical records of 176 inpatients at 8 hospitals in Taizhou and Hangzhou. The 176 inpatients with blast injuries comprised 70 females and 106 males, with an average age of 45.48 ± 19.96 years, and more than half of the patients were farmers. They were transported to six hospitals distributed around the explosion site in Taizhou in the initial rescue period and were grouped according to their new injury severity score as having mild, moderate, severe, or extremely severe injuries. Most patients with severe and extremely severe injuries were admitted to a superior hospital for postsecondary triage. Forty-four patients experienced primary blast injuries, 137 experienced secondary blast injuries, 37 experienced tertiary blast injuries, and 40 patients experienced quaternary blast injuries. Multiple blast injuries were suffered by 62 patients. Most patients (95.45%) suffered external injuries, with the chest, extremities, and face as the main affected areas. Burns were diagnosed in 26 adults, of whom 15.38%, 19.23%, 7.70%, and 57.69% suffered mild, moderate, severe, and extremely severe cases. Sixteen burn patients suffered from burn-blast injuries. Upper limbs and the head/face/neck area, as exposed areas, were more likely to experience a burn injury. Inhalation was the main accompanying injury. Of the eight patients who died in the prehospital session, seven had burn injuries. This report on the accident and injury characteristics of an open-air LPG-related explosion will facilitate responses to subsequent catastrophes.
2020 年 6 月 13 日，温岭发生一起液化石油气槽罐车爆炸事故。作者在此描述这起爆炸事故的大规模人员伤亡应急响应。作者收集了台州和杭州 8 家医院的 176 名住院患者的病历。176 名爆炸伤住院患者中，女性 70 例，男性 106 例，平均年龄为 45.48±19.96 岁，且半数以上患者为农民。他们在初始救援期间被送往台州爆炸现场周围的 6 家医院，并根据新的创伤严重程度评分分为轻度、中度、重度和极重度损伤。大多数重度和极重度损伤患者被送往上级医院进行二次分诊。44 例患者发生原发性爆炸伤，137 例患者发生继发性爆炸伤，37 例患者发生三级爆炸伤，40 例患者发生四级爆炸伤。62 例患者发生多处爆炸伤。大多数患者（95.45%）遭受了外部损伤，胸部、四肢和面部为主要受伤部位。26 名成人患者被诊断为烧伤，其中 15.38%、19.23%、7.70%和 57.69%的烧伤程度分别为轻度、中度、重度和极重度。16 例烧伤患者合并烧伤-爆炸伤。上肢和头/面/颈暴露部位更易发生烧伤。吸入是主要的伴随损伤。在院前阶段死亡的 8 例患者中，有 7 例有烧伤。本报告对露天液化石油气相关爆炸事故的事故和损伤特征进行了总结，有助于对后续灾害做出响应。
