重庆市收治的汶川地震截肢伤员调查分析
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摘要
目的比较探讨部分"5.12"汶川地震伤员中未成年人和成年人的截肢情况及严重性。方法调查重庆市收治的2 279名伤员,伤员中未成年人(<18岁)479人,截肢41人;成年人(≥18岁)1 800人,截肢85人。结果地震造成未成年人和成年人的截肢比例存在明显差异。结论未成年组和成年组地震造成的肢体外伤类型相似,但截肢的比例存在明显差异,应特别重视未成年人挤压综合征的治疗。
Objective To discuss and compare the amputation condition and severity between parts of the juveniles and adults wounded in "5.12" Wenchuan earthquake.Methods We investigated 2 279 wounded patients who were taken to hospitals in Chongqing,479 cases were juveniles(aged <18 years old),41 of whom were amputated;1800 cases were adults(aged ≥18 years old),85 of whom were amputated.Results There was notable difference in the amputation ratio between the juveniles and adults.Conclusion The injury type of juveniles patients wounded by earthquake is similar to that of adults,but the amputation ratio is remarkably different,special attention should be given to the treatment of juveniles patients′crush syndrome.
Objective To discuss and compare the amputation condition and severity between parts of the juveniles and adults wounded in "5.12" Wenchuan earthquake.Methods We investigated 2 279 wounded patients who were taken to hospitals in Chongqing,479 cases were juveniles(aged <18 years old),41 of whom were amputated;1800 cases were adults(aged ≥18 years old),85 of whom were amputated.Results There was notable difference in the amputation ratio between the juveniles and adults.Conclusion The injury type of juveniles patients wounded by earthquake is similar to that of adults,but the amputation ratio is remarkably different,special attention should be given to the treatment of juveniles patients′crush syndrome.
引文
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[2]Sarisozen B,Durak K.Extremity injuries in children resul-ting from the 1999 Marmara earthquake:an epidemiologicstudy[J].J Pediatr Orthop B,2003,12(4):288.
[3]付常国.四肢挤压综合征的抗氧化治疗[J].中国骨伤,2008,21(2):109.
[4]梁培禾,靳凤烁.挤压综合征[J].中国医刊,2007,42(5):75.
[5]Duman H,Kulahci Y,Sengezer M.Fasciotomy in crushinjury resulting from prolonged pressure in an earthquakein Turkey[J].Emerg Med J,2003,20(3):251.
[6]周全,王元山,陈建明,等.创伤截肢患者残肢功能训练与假肢装配[J].中国临床康复,2003,7(29):4039.
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