Department of Thoracic Surgery, University of Healt Sciences Ankara City Hospital, Ankara-Türkiye.
Department of Thoracic Surgery, Ankara Yildirim Beyazit University, Faculty of Medicine, Ankara-Türkiye.
Ulus Travma Acil Cerrahi Derg. 2024 Jan;30(1):33-37. doi: 10.14744/tjtes.2023.00748.
On February 6, 2023, an earthquake in Türkiye caused massive destruction. Over 50.000 people are known to have lost their lives, and over 100.000 are known to have been maimed. In our study, we aimed to analyze the treatment process of 267 METHODS: The demographic characteristics, the time spent under the rubble, the duration of transfer to the hospital, and the treatment process of patients admitted to our hospital have been evaluated.
There are 125 (46.8%) men and 142 (53.2%) women in the study. The rate of thoracic trauma was 21.8%. Of all the patients, 15.7% (n=42) had pneumothorax, 18% (n=48) had contusion, 28.8% (n=77) had hemothorax, and 73% (n=195) had rib fractures. The mean time spent under the rubble was 17.6±26.5 h, the duration of transfer to the hospital was 138.5±113.6 h, and the hospitalization time was 93.8±152.3 h. The duration of hospitalization and transfer has been statistically longer for the patients who were under the rubble (85.4%) than for those who were not. (14.6%) (p=0.048). There is a statistically weak positive correlation between the time spent under the rubble and the time of transfer (p=0.048).
The state, the time spent under the rubble, and the presence of hemothorax and pneumothorax should be effectively evaluated in earthquake-induced thoracic traumas. Considering these criteria in the transfer of patients to the centers operating at full capacity in a short time will minimize morbidity and mortality.
2023 年 2 月 6 日，土耳其发生地震，造成大规模破坏。已知有超过 50000 人丧生，超过 100000 人致残。在我们的研究中，我们旨在分析 267 名患者的治疗过程。
评估了患者的人口统计学特征、被困在废墟下的时间、送往医院的时间以及在我院接受治疗的过程。
研究中有 125 名男性（46.8%）和 142 名女性（53.2%）。胸部创伤发生率为 21.8%。在所有患者中，气胸发生率为 15.7%（n=42），挫伤发生率为 18%（n=48），血胸发生率为 28.8%（n=77），肋骨骨折发生率为 73%（n=195）。被困在废墟下的平均时间为 17.6±26.5 小时，送往医院的时间为 138.5±113.6 小时，住院时间为 93.8±152.3 小时。被困在废墟下的患者住院和转送时间统计上明显长于未被困在废墟下的患者（14.6%）（p=0.048）。被困在废墟下的时间与转送时间之间存在统计学上的弱正相关（p=0.048）。
在地震引起的胸部创伤中，应有效评估状态、被困在废墟下的时间、血胸和气胸的存在。在短时间内将患者有效地转移到充分运转的中心，考虑这些标准将最大限度地降低发病率和死亡率。
