1070例汶川地震伤员的流行病学调查

英文篇名：Epidemiologic characteristics of 1070 sick and wounded persons after Wenchuan earthquake
中文刊名：军医进修学院学报
英文刊名：Journal of Chinese PLA Postgraduate Medical School
作者：王威 ; 杨静 ; 陶笙 ; 屈波 ; 殷秀梅 ; 王岩 ; 康晓琦
英文作者：WANG Wei1 ; YANG Jing1 ; TAO Sheng1 ; QU Bo2 ; YIN Xiu-mei2 ; WANG Yan1 ; KANG Xiao-qi11Chinese PLA General Hospital ; Beijing 100853 ; China ; 2General Hospital of Chengdu Military Area Command ; Chengdu 610083 ; Sichuan Province ; China
中文关键词：地震 ; 流行病学 ; 创伤 ; 骨折 ; 伤情分析
英文关键词：Earthquakes ; Epidemiology ; Trauma ; Fractures ; Bone ; Analysis of Injuries
出版日期：2011-08-28
机构：解放军总医院;成都军区总医院;
年：2011
期：08
出版单位：军医进修学院学报

摘要

目的总结5.12汶川地震伤员的流行病学特点及伤员收容和医疗救治特点。方法通过病案查阅及调查问卷等方法,回顾成都军区总医院2008年5月12日-28日救治的1 070例地震伤员临床流行病学特点、震后伤员就诊时间分布特点以及入院后救治措施和患者预后等。结果震后48h内入院人数达692例,占入院总数的64.7%。骨科伤员710例,占总伤员数的66.4%,其中最常见的为四肢骨折(371,34.7%)、软组织伤(191,17.9%)、脊柱骨折(122,11.4%)、骨盆骨折(49,4.6%)及挤压综合征(CS)(17,1.6%)。1 070例中死亡5例(0.5%),其中挤压综合征3例,腹部损伤伴失血性休克1例,地震相关非创伤性疾病(心肌梗死)1例。结论地震伤员中骨科伤为最主要伤型;地震后24-48h运送至医院就诊的伤员最多。挤压综合征患者死亡率较高。
Objective To summarize the epidemiologic characteristics of sick and wounded persons after Wenchuan earthquake on may 12,2008,and their medical treatment in General Hospital of Chengdu Military Area Command.Methods Epidemiologic characteristics of 1 070 sick and wounded persons admitted to General Hospital of Chengdu Military Area Command in May 12-28,2008,after Wenchuan earthquake,the distribution characteristics of their visiting time,and their treatment and prognosis,were retrospectively analyzed by reading their medical records and investigating with questionnaires.Results Six hundred and ninety-two sick and wounded persons were admitted to General Hospital of Chengdu Military Area Command 48h after Wenchuan earthquake,accounting for 64.7% of the total 1 070 admitted sick and wounded persons.Of the 1 070 sick and wounded persons,710(66.4%) were admitted to Department of Orthopedics.The most frequent injuries were extremity fractures(34.7%),soft tissue injuries(17.9%),spinal fractures(11.4%),pelvic fractures(4.6%) and crush syndrome(1.6%).Of the 5 sick and wounded persons who died(0.5%),3 died of crush syndrome,1 died of abdominal injury accompanying hemorrhagic shock,and 1 died of earthquake-related cardiac infarction,a non-traumatic disease.Conclusion Bone injury is the most common trauma occurred in earthquake.The number of sick and wounded persons sent to hospitals is the greatest 24-48h after earthquake.The mortality rate of crush syndrome patients is rather high.

引文

1翟晓军,陈其昕,陈维善,等.AO分型、脊柱载荷及不稳定程度评分的应用研究[J].中国骨伤,2005,18(5):263-265.
    2 Bulut M,Fedakar R,Akkose S,et al.Medical experience of auniversity hospital in Turkey after the 1999 Marmara earthquake[J].Emerg Med J,2005,22(7):494-498.
    3 Emami MJ,Tavakoli AR,Alemzadeh H,et al.Strategies inevaluation and management of Bam earthquake victims[J].PrehospDisaster Med,2005,20(5):327-330.
    4 Tanaka H,Oda J,Iwai A,et al.Morbidity and mortality ofhospitalized patients after the 1995 Hanshin-Awaji earthquake[J].Am J Emerg Med,1999,17(2):186-191.
    5 Peek-Asa C,Kraus JF,Bourque LB,et al.Fatal and hospitalizedinjuries resulting from the 1994 Northridge earthquake[J].Int JEpidemiol,1998,27(3):459-465.
    6 Pointer JE,Michaelis J,Saunders C,et al.The 1989 Loma Prietaearthquake:impact on hospital patient care[J].Ann Emerg Med,1992,21(10):1228-1233.
    7 Kurt N,Kü?ük HF,Celik G,et al.Evaluation of patients woundedin the 17 August 1999 Marmara earthquake[J].Ulus Travma Derg,2001,7(1):49-51.
    8卢世璧.汶川特大地震伤员救治的几点经验[J].中国矫形外科杂志,2008,16(20):1521.
    9 Qiu J,Liu GD,Wang SX,et al.Analysis of injuries and treatment of 3,401 inpatients in 2008 Wenchuan earthquake--based on ChineseTrauma Databank[J].Chin J Traumatol,2010,13(5):297-303.
    10 Dai ZY,Li Y,Lu MP,et al.Clinical profile of musculoskeletalinjuries associated with the 2008 Wenchuan earthquake in China[J].Ulus Travma Acil Cerrahi Derg,2010,16(6):503-507.
    11谢娟,杜亮,夏天,等.四川大学华西医院1861例汶川地震住院和死亡伤员伤情与死因分析[J].中国循证医学杂志,2008,8(8):591-596.