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在灾难性灾害中,对地震伤员进行必要的、独特的、现场的计算机断层扫描评估!2023 年土耳其-叙利亚地震:第二部分。

A needful, unique, and in-place evaluation of the injuries in earthquake victims with computed tomography, in catastrophic disasters! The 2023 Turkey-Syria earthquakes: part II.

机构信息

Giresun University, Faculty of Medicine, Department of Radiology - Giresun, Turkey.

Giresun University, Faculty of Medicine, Department of Pathology - Giresun, Turkey.

出版信息

Rev Assoc Med Bras (1992). 2023 Aug 14;69(8):e20230550. doi: 10.1590/1806-9282.20230550. eCollection 2023.

Abstract

OBJECTIVE

This study aimed to determine the computed tomography findings associated with very recent catastrophic 2023 Turkey-Syria earthquake-related injuries and their anatomotopographic distribution in the adult population.

METHODS

The incorporated computed tomography scans of 768 adult cases who had been admitted to the hospital and had undergone computed tomography imaging after these tragic disasters had been examined on the Teleradiology Reporting System of the Turkish Ministry of Health. To this end, the injuries were classified into six categories: head, thoracic, spinal, pelvic, extremity, and abdominal injury, with three age groups (18-34, 35-64, and ³65 years) and four different imaging intervals (<24, 24-48, 49-72, and >72 h).

RESULTS

This study incorporated 316 (41.1%) cases on the first day, 57 (7.5%) on the second day, 219 (28.5%) on the third day, and 176 (22.9%) on the fourth day after the earthquake or later. Of the 768 cases, 109 (14.2%) had a head injury, 100 (13.0%) had a thoracic injury, 99 (12.9%) had a spinal injury, 51 (6.6%) had a pelvic injury, 41 (5.4%) had an extremity injury, and 11 (1.4%) had an abdominal injury.

CONCLUSION

In these regrettable earthquake disasters, we determined a high ratio of head injuries, which was closely followed by thoracic and spinal injuries, in our preliminary outcomes for the pediatric population, Part I. The frequency of abdominal injuries was low among individuals who experienced the earthquake. Last but not least, we have noticed a higher likelihood of spinal injury in individuals older than 65 years in the studied population.

摘要

目的

本研究旨在确定与 2023 年土耳其-叙利亚灾难性近期地震相关的非常新的损伤的计算机断层扫描(CT)表现,并确定其在成年人群中的解剖部位分布。

方法

对土耳其卫生部远程放射学报告系统中纳入的 768 例成年患者的 CT 扫描进行了检查,这些患者在这些悲剧性灾难后被送往医院并接受了 CT 成像。为此,将损伤分为 6 类:头部、胸部、脊柱、骨盆、四肢和腹部损伤,并分为 3 个年龄组(18-34 岁、35-64 岁和³65 岁)和 4 个不同的成像间隔(<24、24-48、49-72 和>72 h)。

结果

本研究纳入了地震后第 1 天的 316 例(41.1%)、第 2 天的 57 例(7.5%)、第 3 天的 219 例(28.5%)和第 4 天的 176 例(22.9%)。在 768 例中,109 例(14.2%)有头部损伤,100 例(13.0%)有胸部损伤,99 例(12.9%)有脊柱损伤,51 例(6.6%)有骨盆损伤,41 例(5.4%)有四肢损伤,11 例(1.4%)有腹部损伤。

结论

在这些不幸的地震灾难中,我们初步确定了儿童人群中头部损伤的比例较高,其次是胸部和脊柱损伤,这是我们初步研究结果的第一部分。在经历地震的人群中,腹部损伤的频率较低。最后但并非最不重要的是,我们注意到在所研究人群中,65 岁以上的人脊柱损伤的可能性更高。

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