Adana City Research and Education Hospital, Chest Diseases Department, Adana, Turkey.
Adana City Research and Education Hospital, İntensive Care Deparment, Adana, Turkey.
Prehosp Disaster Med. 2024 Apr;39(2):131-135. doi: 10.1017/S1049023X24000190. Epub 2024 Mar 20.
In Turkey, a total of 269 earthquakes took place from 1900 through 2023. The most devastating earthquakes in terms of casualties and extensive destruction occurred at 4:17am and 1:24pm local time on February 6, 2023 with the epicenters located in Pazarcik (Kahramanmaras) and Ekinozu (Kahramanmaras) and magnitudes of 7.7Mw and 7.6Mw, respectively. The aim of this study was to define the frequency of lung complications that occurred directly and/or developed during the intensive care follow-up of individuals affected by the Kahramanmaras earthquakes.
A retrospective evaluation was conducted on the files of 69 patients who were rescued from the debris of collapsed buildings after the Kahramanmaras earthquakes and followed up in the intensive care unit in terms of the time under the debris, demographic data, vital signs, and lung complications that were present at the time of admission and developed during follow-up. SPSS for Windows v. 20.0 was used for data analysis.
The study included a total of 69 patients, of whom 29 (42%) were female and 40 (58%) were male. The mean age was 39.9 (SD = 16.9) years. The mean time under the debris was 53.9 (SD = 52) hours, and the mean time from rescue to the intensive care unit admission was 18.7 (SD = 12.8) hours. One or more pulmonary complications were detected in 52.2% (n = 36) of the patients at the time of admission. During the follow-up, 30.4% (n = 21) of the patients developed pulmonary congestion, 13.0% (n = 9) pneumonia, 1.5% (n = 1) alveolar hemorrhage, and 1.5% (n = 1) atelectasis, while no additional lung complications developed in the remaining 37 patients (53.6%).
Severe cases of individuals recovered from the debris can have a high prevalence of earthquake-related lung disorders and chest trauma, which may be associated with high mortality. The timely identification and effective intervention of pulmonary complications that may develop during follow-up can reduce mortality.
自 1900 年至 2023 年，土耳其共发生 269 次地震。2023 年 2 月 6 日当地时间凌晨 4 点 17 分和下午 1 点 24 分，震中位于帕扎里克（哈塔伊省）和埃基诺祖（哈塔伊省），震级分别为 7.7Mw 和 7.6Mw，这两次地震是伤亡人数和广泛破坏程度方面最严重的地震。本研究旨在确定直接发生或在受哈塔伊地震影响的个体接受重症监护随访期间发展的肺部并发症的频率。
对在哈塔伊地震后从倒塌建筑物废墟中获救并在重症监护病房接受随访的 69 名患者的档案进行回顾性评估，评估内容包括被困时间、人口统计学数据、生命体征以及入院时和随访期间出现的肺部并发症。使用 Windows v. 20.0 SPSS 进行数据分析。
本研究共纳入 69 名患者，其中女性 29 名（42%），男性 40 名（58%）。平均年龄为 39.9（SD = 16.9）岁。平均被困时间为 53.9（SD = 52）小时，从救援到重症监护病房入院的平均时间为 18.7（SD = 12.8）小时。入院时，52.2%（n = 36）的患者存在一种或多种肺部并发症。在随访期间，30.4%（n = 21）的患者出现肺充血，13.0%（n = 9）的患者发生肺炎，1.5%（n = 1）的患者发生肺泡出血，1.5%（n = 1）的患者发生肺不张，而其余 37 名患者（53.6%）未出现其他肺部并发症。
从废墟中获救的重症患者可能患有与地震相关的肺部疾病和胸部创伤的高患病率，这可能与高死亡率有关。及时识别和有效干预随访期间可能出现的肺部并发症可以降低死亡率。
