地震所致脊柱骨折伤员的特征分析
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摘要
目的总结地震中脊柱骨折伤员的分布特征和受伤机制,指导该类损伤的预防和诊治。方法对此次我院收治的281例地震中脊柱骨折伤员的临床资料进行分析。结果中老年人群、女性、农民和室内活动均是脊柱伤的高危因素。受伤的原因以重物砸压、坠落最为常见。脊柱骨折的部位集中在T11-L2.并有较多多节段脊柱骨折。大部分存在多个部位合并伤。结论加强地震知识的宣传教育,地震发生时正确有效的规避坠落的重物和倒塌的房屋,避免从高处跳下,室内正确的躲避方法和姿势,可以降低脊柱损伤的发生。了解受伤机制有助于伤员的及时诊治,减少漏诊误诊。
Objective To investigate the characteristics of distribution and traumatic mechanism of the spinal fractrue patients caused by earthquake,to guide the diagnosis ,treatment and prevention of this kind of fracture.Method the clinical characteristics of 281 cases spinal fracture patients injured in Wen Chuan earthquake were summarized.Results Middle-aged population,females,peasants and indoors activities are high risk factors of spinal injury.The most common modes of spinal fractures caused by earthquake are crash and falls.The major injury location is thoracolumbar spine(T11-L2).The most of cases have multi-segmental spinal fractur or multiple trauma.Conclusion the methods that can reduce spinal fracture incidence are as follow:1.Strengthen earthquake propaganda;2.To master correct and effective avoiding technology of falling object or collapsing building;3.To aviod jump down from the buildings;4.To learn appropriate avoiding method and protective posture in doors.Understanding the traumatic mechanism of this kind of fracture is helpful to timely diagnosis and treatment.
Objective To investigate the characteristics of distribution and traumatic mechanism of the spinal fractrue patients caused by earthquake,to guide the diagnosis ,treatment and prevention of this kind of fracture.Method the clinical characteristics of 281 cases spinal fracture patients injured in Wen Chuan earthquake were summarized.Results Middle-aged population,females,peasants and indoors activities are high risk factors of spinal injury.The most common modes of spinal fractures caused by earthquake are crash and falls.The major injury location is thoracolumbar spine(T11-L2).The most of cases have multi-segmental spinal fractur or multiple trauma.Conclusion the methods that can reduce spinal fracture incidence are as follow:1.Strengthen earthquake propaganda;2.To master correct and effective avoiding technology of falling object or collapsing building;3.To aviod jump down from the buildings;4.To learn appropriate avoiding method and protective posture in doors.Understanding the traumatic mechanism of this kind of fracture is helpful to timely diagnosis and treatment.
引文
[1]廖文彬,林树枝.减轻地震震害的几点思考.[J].福建建筑.2008,10(124):98-100.
[2]林树枝.汶川地震灾区房屋抗震加固及设计的几点建议.[J].工程抗震与加固改造,2008(4):83-87.
[3]王正国.地震灾害的特点及其所致创伤的救治.中华创伤杂志,2008,24(6):401-404.
[4]Dai Liyang.Mechanism of thoracolumbar burst fractures:a biome-chanical study.Chinese Medical Journal2002,115(3):336-338.
[5]Levine AM,Edwards CC.The management of traumatic spon-dylolisthesis of the axis.J Bone Joint Surg Am1985,67:217-226.
[6]贾涛,赵晶.1053例脊柱损伤的临床流行病研究.创伤外科杂志,2003,5(4):256-258.
[7]王晓东,郝定均,吴起宁等.脊柱多节段脊柱骨折的特点及治疗,中国骨与关节损伤杂志.2006,21(5):382-383.
[8]贾金鹏,陆宁,陈华,等.36例地震所致脊柱骨折患者特点分析及治疗.军医进修学院学报,2008,29(4):241-243.
[9]吴恒义.地震伤的特点和救治策略.[J].创伤外科杂志,2008,10(5):413-415.
[10]Priebe MM.Spinal cord injuries as a result of earthquakes:lessons from Iran and Pakistan[J].J Spinal Cord Med,2007,30(4):367～368.
[2]林树枝.汶川地震灾区房屋抗震加固及设计的几点建议.[J].工程抗震与加固改造,2008(4):83-87.
[3]王正国.地震灾害的特点及其所致创伤的救治.中华创伤杂志,2008,24(6):401-404.
[4]Dai Liyang.Mechanism of thoracolumbar burst fractures:a biome-chanical study.Chinese Medical Journal2002,115(3):336-338.
[5]Levine AM,Edwards CC.The management of traumatic spon-dylolisthesis of the axis.J Bone Joint Surg Am1985,67:217-226.
[6]贾涛,赵晶.1053例脊柱损伤的临床流行病研究.创伤外科杂志,2003,5(4):256-258.
[7]王晓东,郝定均,吴起宁等.脊柱多节段脊柱骨折的特点及治疗,中国骨与关节损伤杂志.2006,21(5):382-383.
[8]贾金鹏,陆宁,陈华,等.36例地震所致脊柱骨折患者特点分析及治疗.军医进修学院学报,2008,29(4):241-243.
[9]吴恒义.地震伤的特点和救治策略.[J].创伤外科杂志,2008,10(5):413-415.
[10]Priebe MM.Spinal cord injuries as a result of earthquakes:lessons from Iran and Pakistan[J].J Spinal Cord Med,2007,30(4):367～368.
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