[Analysis of patients with bone injury in Wenchuan earthquake].

Department of Orthopaedics, West China Hospital of Sichuan University, Chengdu 610041, China.
Zhonghua wai ke za zhi [Chinese journal of surgery] 01/2009; 46(24):1853-5.
Source: PubMed


To evaluate the patients with bone injury in Wenchuan earthquake.
From May 12th to June 15th 2008 the data of 1410 patients with bone injury in Wenchuan earthquake were analyzed to evaluate clinical intervention and remedy-managing experience.
The 1410 patients average age was from 4 to 103 years old. And 744 cases (52.7%) suffered from blunt injuries, 379 cases (26.9%) from buried injuries, 287 cases (20.4%) from falling injuries; And 1317 cases were with fracture, 93 with limbs soft tissue injuries; 261 patients combined with other parts of injuries including 45 cases with paralysis; 66 cases were with crush syndrome, 25 with gas gangrene, 76 with acute kidney failure, 26 with multiple organ failure. And 912 operations were performed including 402 fracture fixation, 224 debridement, 152 debridement and suture, 85 amputation, 29 implant skin, 8 fixation of joint dislocation, 5 surgical flaps transplantation, 4 nerve and tendon suture, 2 arthroscopes, 1 joint replacement. Among the 66 crush syndrome patients, 49 accepted continuous renal replacement therapy, in which 9 cases were bleeding from named arteries and 20 blood vessels were getting embolism. Among the 1410 cases, 1 died from multiple organ failure.
Among the patients with bone injury in Wenchuan earthquake, the elderly patients are more than the youth; The injuries are always combined with other complications; Opened injuries are polluted severely; It is difficult to deal with the crush syndrome; Paraplegia cases are less, but the amputees are more.

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    • "Pan et al. (2009) also reported that more men (57.45%) sustained spine fractures. The same results were also found in bone injury (Yi et al. 2008), maxillofacial injuries (Liang et al. 2009), and maxillofacial fractures (Tang et al. 2009). However, Ran et al. (2009) found that more women than men (60.00%) suffered open fractures. "
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    ABSTRACT: This study explored demographic variations among victims injured in the 2008 Wenchuan earthquake. The study analyzed records of 2,148 patients who were hospitalized with earthquake-related injuries in 14 hospitals between May 12 and May 21 of 2008. We tested the effects of gender and age on the incidence of fractures and amputations. Although more women than men were hospitalized as earthquake victims, the results indicated that a higher incidence of pelvic fracture in women was the only statistically significant injury with regard to gender. Age had a more complex effect on the rate and pattern of fractures. Children younger than 15years old were the most likely to sustain skull fractures and amputations. The elderly were the most likely to be associated with limb fractures. Adult men were the most likely to suffer spine fractures and adult women rib fractures. The paper concludes with an interpretation of the results in the context of China’s rural conditions and discusses implications for post-disaster emergency operations and planning. KeywordsGender–Age–Injuries–Fractures–Disaster–China
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    ABSTRACT: To present an overview of mortality, disability, and depression among patients with head injuries admitted to multiple center hospitals after the 2008 Wenchuan earthquake in China. A retrospective analysis was done of the medical records of earthquake victims with head traumas admitted to three different area hospitals; analysis included 18 months of follow-up. Demographic data, causes of injury, diagnosis, clinical classification, treatment, and prognosis were reviewed. This analysis included 1299 victims with craniocerebral injuries admitted to eight hospitals in or near the disaster zone. The victims were divided into three main groups. Group A comprised 68 victims treated in the local hospital; all 68 (100%) were hospitalized during the 24 hours after the earthquake, and 38 (55.88%) victims died 18 months later. Group B comprised 600 victims treated in regional hospitals; 264 (44%) were admitted within 72 hours after the earthquake, and 109 (18.17%) died. Group C comprised 631 victims transported to territory hospitals; 39 (6.18%) were dead at 18 months. Among survivors, 409 (31.48%) victims sustained a disability, and 879 (80.35%) have depression. In the first 72 hours after this major earthquake, the local and regional hospital neurosurgery departments were flooded with numerous victims with craniocerebral injuries. Most of these patients died or were disabled. The territory hospitals with expert neurosurgeons and advanced equipment did not effectively contribute to successful treatment of victims. The mobile hospital played an important role in initial triage and treatment.
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