汶川地震伤员伤情的地域性分布特点分析
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摘要
目的通过对汶川大地震后,不同受灾地区地震伤员的伤情分析,探讨伤情类型和严重程度的地域性特点,为地震灾害发生后,不同地区配置救援人员和物资准备提供参考。方法以汶川大地震后3周内,四川大学华西医院急诊科接收的伤员病情为资料,回顾性地分析受灾地区和伤情类型和严重程度、受伤部位的关系。结果地震带的伤员中重伤患者比例大于周边地区的伤员(57.3%与45.1%,P=0.000),轻伤患者比例则低于周边地区的伤员(41.7%与54.0%,P=0.000)。重伤患者中,地震带伤员中腹部受伤比例大于周边地区(7%与2.2%,P=0.016),四肢受伤比例则较小(24.5%与32%,P=0.041)。结论汶川地震中,地震区重伤患者较周边地区多,而在重伤患者中,地震区腹部外伤多,周边地区四肢外伤多。在配置灾害医疗救援人力与物资时,应考虑伤情的地域性,根据不同地域的伤情特色,优化配置医疗资源。
Objective To discuss the differences on severity and injured portion between the patients from the seismic belt and periphery districts.Methods To retrospectively analyze the casualties from Wenchuan earthquake who visited our emergency department.The severity and injured portion of casualties from different districts were analyzed.Results The proportion of macrotrauma of the seismic belt was larger than that of periphery districts(57.3% vs 45.1%,P=0.000).In the casualties with macrotrauma,the proportion of abdominal trauma of the seismic belt was larger than that of periphery districts(7% vs 2.2%,P=0.016),but the proportion of trauma on limbs was smaller(24.5% vs 32%,P=0.041).Conclusion In Wenchuan earthquake,macrotrauma more frequently occurred than in periphery districts.In casualties with macrotrauma,the proportion of abdominal trauma of the seismic belt is larger than periphery districts,but proportion of trauma on limbs is smaller.
Objective To discuss the differences on severity and injured portion between the patients from the seismic belt and periphery districts.Methods To retrospectively analyze the casualties from Wenchuan earthquake who visited our emergency department.The severity and injured portion of casualties from different districts were analyzed.Results The proportion of macrotrauma of the seismic belt was larger than that of periphery districts(57.3% vs 45.1%,P=0.000).In the casualties with macrotrauma,the proportion of abdominal trauma of the seismic belt was larger than that of periphery districts(7% vs 2.2%,P=0.016),but the proportion of trauma on limbs was smaller(24.5% vs 32%,P=0.041).Conclusion In Wenchuan earthquake,macrotrauma more frequently occurred than in periphery districts.In casualties with macrotrauma,the proportion of abdominal trauma of the seismic belt is larger than periphery districts,but proportion of trauma on limbs is smaller.
引文
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[2]Roces MC,White ME,Dayrit MM,et al.Risk factors for injuries due to 1990 earthquake inLuzon,Philippines[J].Bull World Health Organ,1992,70:509.
[3]Noji EK,Kelen GD,Armenian HK.The 1988 earthquakein Soviet Armenia:a case study[J].Ann Emerg Med,1990,19:891.
[4]Peek-Asa C,Kraus JF,Bourque LB,et al.Fatal and hospi-talized injuries resulting fromthe 1994 Northridge earth-quake[J].Int J Epidemiol,1998,27:459.
[5]Schultz CH,Koenig KL,Noji EK.A medical disaster re-sponse to reduce i mmediate mortality after an earthquake[J].N Engl J Med,1996,334(26):1746.
[6]梁竹,张传霞,罗琼,等.突发灾害事件医院药品的应急保障[J].解放军药学学报,2004,20(3):238.
[7]汪茜,王明新,侯世科,等.从海外地震救援谈信息情报对医疗物资准备的重要性[J].武警医学,2006,17(10):791.
[8]冯惠坚,李捷玮,陈盛新,等.地震伤救治药品的需求分析[J].药学实践杂志,2003,21(2):100.
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