5.12汶川8.0级地震伤员的四肢放射学表现分析
|
摘要
目的分析5.12汶川8.0级地震中伤员四肢损伤类型和影像表现。方法回顾分析自2008年5月13日—5月27日在绵阳市中心医院放射科就诊的1121例地震伤员中四肢检查的671伤员的放射学资料,其中平片检查668人,约1200处投照部位,CT检查19人23个部位。结果446例伤员放射学检查为阳性,总阳性率约为66.47%,其中四肢单部位损伤为355例(52.91%),多个四肢损伤为91例(13.56%)。共有558个部位损伤,按发生率高低排列,依次为胫腓骨142例(25.45%),足踝113例(20.25%)、髋关节及股骨112例(20.07%),肘关节及尺桡骨54例(9.68%)、肱骨47例(8.42%),手腕38例(6.81%),肩关节36例(6.45%),锁骨16例(2.87%);按照骨折类型,粉碎性骨折317例(56.81%),横行骨折102例(18.28%),关节脱位37例(6.63%),斜行骨折37例(6.63%),螺旋形骨折31例(5.56%),线形骨折17例(3.05%),嵌插骨折13例(2.33%),骺分离4例(0.72%)。结论地震造成四肢损害以下肢为主,骨折类型以粉碎性骨折及横行骨折为主。
Objective To study the types and the appearances of limb injuries caused by the earthquake of 5.12 Wenchuan.Methods The radiological information of 1121 victims of earthquake trauma from May 13 to 27 in 2008 in the department of radiology of Mianyang central hospital was analyzed retrospectively.There were 671 victims with limb injuries,668 victims approximately 1200 position examined with X-ray,19 victims approximately 23 position examined with CT.Results Results of radiological examination of 446 victims were positive,the ratio of total positives was 66.47%,355 cases with single limb injuries(52.91%),91 cases with multitude limb injuries(13.56%).There were 558 positions were injured in all,incidence rate arranged from high to low,142 cases of tibiofibula fracture(25.45%),113 cases of ankle(20.25%),112 cases of articulatio coxae and femoral bone fracture(20.07%),54 cases of elbow-joint and ruler-radial bone fracture(9.68%),47 cases of humeral bone fracture(8.42%),38 cases of wrist fracture(6.81%),36 cases of shoulder joint fracture(6.45%) and 16 cases of collar bone fracture(2.87%).According to classification of fracture,317 cases were comminuted fracture(56.81%),102 cases were transverse fracture(18.28%),37 cases of dislocation of joint(6.63%),37 cases of oblique fracture(6.63%),31 cases of spiral fracture(5.56%),17 cases of linear fracture(3.05%),13 cases of compact fracture(2.33%),and 4 cases of epiphyseal separation(0.72%).Conclusion The lower limbs injury was predominant in limb injuries caused by earthquake.According to classification of fracture,comminuted fracture and transverse fracture were predominant.
Objective To study the types and the appearances of limb injuries caused by the earthquake of 5.12 Wenchuan.Methods The radiological information of 1121 victims of earthquake trauma from May 13 to 27 in 2008 in the department of radiology of Mianyang central hospital was analyzed retrospectively.There were 671 victims with limb injuries,668 victims approximately 1200 position examined with X-ray,19 victims approximately 23 position examined with CT.Results Results of radiological examination of 446 victims were positive,the ratio of total positives was 66.47%,355 cases with single limb injuries(52.91%),91 cases with multitude limb injuries(13.56%).There were 558 positions were injured in all,incidence rate arranged from high to low,142 cases of tibiofibula fracture(25.45%),113 cases of ankle(20.25%),112 cases of articulatio coxae and femoral bone fracture(20.07%),54 cases of elbow-joint and ruler-radial bone fracture(9.68%),47 cases of humeral bone fracture(8.42%),38 cases of wrist fracture(6.81%),36 cases of shoulder joint fracture(6.45%) and 16 cases of collar bone fracture(2.87%).According to classification of fracture,317 cases were comminuted fracture(56.81%),102 cases were transverse fracture(18.28%),37 cases of dislocation of joint(6.63%),37 cases of oblique fracture(6.63%),31 cases of spiral fracture(5.56%),17 cases of linear fracture(3.05%),13 cases of compact fracture(2.33%),and 4 cases of epiphyseal separation(0.72%).Conclusion The lower limbs injury was predominant in limb injuries caused by earthquake.According to classification of fracture,comminuted fracture and transverse fracture were predominant.
引文
[1]Cai XY,Mai HZ.Discussion on management of classification andgradationin unexpected public health events.Chinese Journal ofPublic Health,2006.22(7):895-896.蔡筱英,麦慧祯.突发公共卫生事件的分类分级管理探讨.中国公共卫生,2006,22(7):895-896.
[2]Bozkurt M,Ocguder A,Turktas U,et al.The evaluation oftrauma patients in Turkish Red Crescent Field Hospital followingthe Pakistan earthquake in 2005.Injury,2007,38(3):290-297.
[3]Sun ZG.Study on the investigation of earthquake injuries andmedical rescue.The First Military Medical University,2001:39-61.孙志刚.地震伤员及医疗救援的调查研究[学位论文].第一军医大学,2001:39-61.
[4]Qi GM,Qi XQ,Wu MJ,et al.Health guide of disaster relief.Beijing:Huaxia press,2003:60-68.祁国明,齐小秋,吴明江,等.灾害事故医疗卫生救援指南.北京:华夏出版社,2003:60-68.
[5]Peek-Asa C,Kraus JF,Bourque LB,et al.Fatal and hospitalizedinjuries resultingfromthe 1994 Northridge earthquake.Int J Epi-demiol,1998,27(3):459-465.
[6]Zhang QJ.Discussion on countermeasures and difficulties in e-mergency medical rescue of earthquake disaster.Medical Journalof the Chinese People's Armed Police Forces,2006,17(10):788-789.张庆江.地震灾害紧急医疗援救的难点及对策探讨.武警医学,2006,17(10):788-789.
[7]Xi M,Hou JS,Liu AB.The analysis of medical strength disposi-tion in the international earthquake relief action.Journal ofCatastrophology,2007,22(4)138-141.席梅,侯建盛,刘爱兵.国际地震救援行动中的医疗力量配置分析.灾害学,2007,22(4)138-141.
[2]Bozkurt M,Ocguder A,Turktas U,et al.The evaluation oftrauma patients in Turkish Red Crescent Field Hospital followingthe Pakistan earthquake in 2005.Injury,2007,38(3):290-297.
[3]Sun ZG.Study on the investigation of earthquake injuries andmedical rescue.The First Military Medical University,2001:39-61.孙志刚.地震伤员及医疗救援的调查研究[学位论文].第一军医大学,2001:39-61.
[4]Qi GM,Qi XQ,Wu MJ,et al.Health guide of disaster relief.Beijing:Huaxia press,2003:60-68.祁国明,齐小秋,吴明江,等.灾害事故医疗卫生救援指南.北京:华夏出版社,2003:60-68.
[5]Peek-Asa C,Kraus JF,Bourque LB,et al.Fatal and hospitalizedinjuries resultingfromthe 1994 Northridge earthquake.Int J Epi-demiol,1998,27(3):459-465.
[6]Zhang QJ.Discussion on countermeasures and difficulties in e-mergency medical rescue of earthquake disaster.Medical Journalof the Chinese People's Armed Police Forces,2006,17(10):788-789.张庆江.地震灾害紧急医疗援救的难点及对策探讨.武警医学,2006,17(10):788-789.
[7]Xi M,Hou JS,Liu AB.The analysis of medical strength disposi-tion in the international earthquake relief action.Journal ofCatastrophology,2007,22(4)138-141.席梅,侯建盛,刘爱兵.国际地震救援行动中的医疗力量配置分析.灾害学,2007,22(4)138-141.
版权所有：© 2023 中国地质图书馆 中国地质调查局地学文献中心