Medical Efforts and Injury Patterns of Military Hospital Patients Following the 2013 Lushan Earthquake in China: A Retrospective Study.
Medical Efforts and Injury Patterns of Military Hospital Patients Following the 2013 Lushan Earthquake in China: A Retrospective Study.
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2013 年中国芦山地震后军队医院患者的医疗努力和受伤模式：回顾性研究
DOI：
10.3390/ijerph120910723
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发表时间：
2015-08-31
影响因子：
--
通讯作者：
Zhang L
中科院分区：
文献类型：
--
作者：
Kang P;Tang B;Liu Y;Liu X;Liu Z;Lv Y;Zhang L
本文的目的是调查芦山地震中三所军队医院收治的受害者的医疗工作和受伤情况。本研究回顾性调查了266名从芦山地震灾区撤离的收治患者的临床记录。 2005 版简明伤害量表 (AIS-2005) 用于确定每次伤害的严重程度。患者的人口统计数据、投诉、诊断、损伤类型、预后、交通方式和损伤原因均经过单独审查。该研究的统计分析主要使用描述性统计进行。在266名患者中，213名（80.1%）是在前两天入院的。 266 名患者总共记录了 521 起损伤诊断。地震造成的伤害主要是建筑物倒塌（38.4%）和被物体击中（33.8%）；最常受伤的解剖部位是下肢和骨盆（34.2%）以及身体表面积（17.9%）。骨折（41.5%）是最常见的损伤，其次是软组织损伤（27.5%），但由于芦山地区特殊的房屋结构，挤压综合征的发生率相对较低（1.2%）。最常用的手术是缝合和敷料（33.7%），其次是切开复位和内固定（21.9%）。这项研究的结果有助于制定建议，以改善发展中国家偏远、偏远和农村地区未来的救灾和应急计划。
The aim of this paper is to investigate medical efforts and injury profiles of victims of the Lushan earthquake admitted to three military hospitals. This study retrospectively investigated the clinical records of 266 admitted patients evacuated from the Lushan earthquake area. The 2005 version of the Abbreviated Injury Scale (AIS-2005) was used to identify the severity of each injury. Patient demographic data, complaints, diagnoses, injury types, prognosis, means of transportation, and cause of injury were all reviewed individually. The statistical analysis of the study was conducted primarily using descriptive statistics. Of the 266 patients, 213 (80.1%) were admitted in the first two days. A total of 521 injury diagnoses were recorded in 266 patients. Earthquake-related injuries were primarily caused by buildings collapsing (38.4%) and victims being struck by objects (33.8%); the most frequently injured anatomic sites were the lower extremities and pelvis (34.2%) and surface area of the body (17.9%). Fracture (41.5%) was the most frequent injury, followed by soft tissue injury (27.5%), but crush syndrome was relatively low (1.2%) due to the special housing structures in the Lushan area. The most commonly used procedure was suture and dressings (33.7%), followed by open reduction and internal fixation (21.9%).The results of this study help formulate recommendations to improve future disaster relief and emergency planning in remote, isolated, and rural regions of developing countries.