Hypothermia in Victims of the Great East Japan Earthquake: A Survey in Miyagi Prefecture
Hypothermia in Victims of the Great East Japan Earthquake: A Survey in Miyagi Prefecture
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DOI：
10.1017/dmp.2014.70
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发表时间：
2014-10-01
影响因子：
2.7
通讯作者：
Kushimoto, Shigeki
中科院分区：
文献类型：
--
作者：
Furukawa, Hajime;Kudo, Daisuke;Kushimoto, Shigeki
目的：进行一项调查以描述东日本大地震后接受低温治疗的患者的特征。
方法：向宫城县的72家急救医院发放书面问卷。要求提供关于地震后72小时内收治的体温低于36℃的住院患者的数据。还记录了功能性供暖系统的可用性以及地震后恢复供暖所需的时间。
结果：确定了来自13家医院的共91名住院患者。海啸受害者占低温患者的73%。在地震发生后的24小时内，有66名患者入院。大多数体温在32℃及以上的患者使用毛毯进行被动体表复温治疗。据报道，在地震发生后24小时内入院的患者中有83.3%以及在地震发生后24 - 72小时入院的患者中有44.0%无后遗症出院。43%的医院在地震发生后的3天内恢复了供暖系统。
结论：地震后72小时内住院的患者出现低温主要是由于在海啸期间暴露于冷水。尽管地震后区域社会基础设施遭到破坏，但许多患者仍得到了成功治疗。
Objective: A survey was conducted to describe the characteristics of patients treated for hypothermia after the Great East Japan Earthquake.Methods: Written questionnaires were distributed to 72 emergency medical hospitals in Miyagi Prefecture. Data were requested regarding inpatients with a temperature less than 36 degrees C admitted within 72 hours after the earthquake. The availability of functional heating systems and the time required to restore heating after the earthquake were also documented.Results: A total of 91 inpatients from 13 hospitals were identified. Tsunami victims comprised 73% of the patients with hypothermia. Within 24 hours of the earthquake, 66 patients were admitted. Most patients with a temperature of 32 degrees C or higher were treated with passive external rewarming with blankets. Discharge without sequelae was reported for 83.3% of patients admitted within 24 hours of the earthquake and 44.0% of those admitted from 24 to 72 hours after the earthquake. Heating systems were restored within 3 days of the earthquake at 43% of the hospitals.Conclusions: Hypothermia in patients hospitalized within 72 hours of the earthquake was primarily due to cold-water exposure during the tsunami. Many patients were successfully treated in spite of the post-earthquake disruption of regional social infrastructure.