与地震相关的孤立的形胸部创伤患者:在急诊室的一项特殊人口研究
Mehmet Ozel1, Ali Cankut Tatliparmak2, Remzi Cetinkaya1
1University of Health Sciences, Dept. of Emergency Medicine, Diyarbakır Gazi Yasargil Training and Research Hospital, Diyarbakır, Turkey.
The American journal of emergency medicine
|November 11, 2023
概括
这项研究发现肺伤,而不是捕获时间,在地震后显著影响严重的胸部创伤. 严重受伤的肺部伤率和死亡率较高,这突显了地震幸存者的明显临床影响.
科学领域:
- 紧急医疗 紧急医疗
- 创伤外科 手术 创伤外科
- 灾难医学 灾难医学
背景情况:
- 地震常常会造成的胸部创伤.
- 了解影响受伤严重程度的因素对于有效的紧急响应至关重要.
研究的目的:
- 为了比较地震幸存者的重度和轻度的粗胸部创伤.
- 确定影响地震相关创伤胸部损伤严重程度的因素.
主要方法:
- 追溯,横截面,观察性比较研究.
- 包括2月6日卡拉曼马拉斯地震造成的孤立胸部受伤的患者.
- 根据胸部创伤评分 (CTS) 将患者分为重度和轻度组.
主要成果:
- 严重的胸部创伤 (10名患者) 与较高的肺伤率相关 (p=0.045).
- 严重组的肺伤,肋骨骨折和总CTS的中位数显著更高 (p<0.001).
- 在重症组 (40%) 的死亡率明显高于轻症组 (2.3%) (p=0.003).
结论:
- 被困的时间没有显著影响胸部损伤的严重程度.
- 肺部伤是地震相关的胸部创伤中更为突出的特征.
- 这些发现可能会为地震幸存者与胸部受伤的管理策略提供信息.
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