与地震相关的医疗并发症
Susan A Bartels1, Michael J VanRooyen
1Department of Emergency Medicine, Beth Israel Deaconess Medical Center, Boston, MA 02215, USA. sbartels@bidmc.harvard.edu
Lancet (London, England)
|November 8, 2011
概括
由于独特的创伤模式,大地震会造成毁灭性的伤害和高死亡率. 本综述总结了地震引起的伤害及其对主要器官系统的影响.
科学领域:
- 灾难医疗 医疗 医疗 医疗
- 创伤流行病学 创伤流行病学
- 公共卫生紧急情况.
背景情况:
- 地震是灾难性的自然灾害,经常影响城市地区.
- 受影响地区结构完整性不佳加剧了伤亡和伤害.
研究的目的:
- 审查和总结地震引起的伤害.
- 讨论地震后影响主要器官系统的医学并发症.
主要方法:
- 关于地震相关伤害和死亡率的文献综述.
- 综合有关创伤模式的流行病学数据.
主要成果:
- 地震伤害是机械的,多系统的创伤.
- 幸存者面临的并发症导致增加的发病率和死亡率.
- 在这些事件中,医疗响应能力往往受到损害.
结论:
- 了解地震伤害流行病学对于应对灾害至关重要.
- 尽管能力受损,但有效的医疗和外科护理至关重要.
- 解决创伤后并发症对于降低长期死亡率至关重要.
相关概念视频
Peptic Ulcer Disease III: Clinical Manifestations and Complications
Duodenal UlcersDuodenal ulcers are the most common form of peptic ulcer disease, presenting with chronic, intermittent epigastric pain. Pain typically appears 2–3 hours after meals, especially when the stomach is empty, often waking patients at night. It is characteristically relieved by food or antacids (“pain–food–relief”). Some patients remain asymptomatic until complications like bleeding or perforation emerge, particularly with NSAID or anticoagulant use.Gastric UlcersGastric ulcers share...
Healing II: Complications
Complications during healing arise when tissue repair is altered by local or systemic factors. These changes involve abnormal collagen deposition, altered biomechanics, and reduced vascular supply, impairing restoration of normal structure and function.Loss of FunctionScar tissue differs significantly from the original tissue it replaces. In the skin, fibrosis lacks adnexal structures such as hair follicles, sebaceous glands, and sweat glands. Their absence reduces tactile sensitivity, impairs...
Applications of GIS: Disaster Management and Emergency Response
Geographic Information System (GIS) technology is essential for risk identification, action prioritization, and resource optimization in critical situations like flooding and earthquakes. By integrating spatial and demographic data, GIS provides a comprehensive framework for emergency response.GIS integrates data layers, like rainfall intensity, topography, elevation profiles, and river levels, to model high-risk flood zones. These layers assess areas susceptible to flooding based on their...
Esophageal Perforation-I: Introduction
Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus.
The location of esophageal perforation can vary, occurring anywhere along the esophagus.
Introduction Cardiac Emergencies
Cardiac emergencies are critical situations involving the heart that require immediate medical intervention to prevent severe complications or death. These emergencies often arise from underlying heart conditions that impair the heart's ability to function correctly.Types of Cardiac EmergenciesThe most common types of cardiac emergencies include Acute Coronary Syndrome (ACS), myocardial infarction (MI), cardiac arrest, and heart failure.Acute Coronary Syndrome (ACS)Acute Coronary Syndrome (ACS)...
Intestinal Obstruction II: Pathophysiology
Intestinal obstruction triggers a series of physiological responses, starting with gas and fluid accumulation in the bowel segment proximal to the obstruction, leading to distension. This distended intestine compresses the diaphragm, hindering lung expansion and potentially leading to reduced respiratory effort, atelectasis, and pneumonia.To overcome the blockage, the gut intensifies contractions, causing colicky abdominal pain, nausea, and vomiting, which reduces fluid and food intake and...


