Injury Sites and Radiologic Features of 60 Patients with Severe Earthquake Trauma in Min-Zhang Earthquake in Gansu Province, 2013_Chinese Journal of Evidence-Based Medicine

Authors：

LEIJun-qiang ^1,2 , ZHANGLi ¹ , DOUYu ¹ , YAOHong ³ , YANGYu-qin ⁴ , WANGWen-qi ⁵ ,  YANGKe-hu ²

1. The First Clinical College of Lanzhou University, Lanzhou 730000, China;
2. Evidence-Based Medicine Center of Lanzhou University, Basic Science School of Lanzhou University, Lanzhou 730000, China;
3. Lanzhou Military Area General Hospital, Lanzhou 730000, China;
4. The Affiliated Hospital of Traditional Chinese Medicine School of Gansu Province, Lanzhou 730000, China;
5. The Hospital of Traditional Chinese Medicine of Gansu Province, Lanzhou 730000, China;

Corresponding author：

YANGKe-hu, Email: kehuyangebm2006@126.com

Keywords：

Earthquake injury; X-ray; CT; MRI; Radiography; Min-Zhang earthquake

DOI：

10.7507/1672-2531.20140106

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Objective To analyze injury sites and radiologic features of 60 patients with severe earthquake trauma in Min-Zhang earthquake in 2013. Methods We retrospectively collected clinical data of 60 patients with severe earthquake trauma who were sent to major hospitals in Lanzhou city within 7 days after the earthquake. The software of Excel was used to input and analyze clinical data. Results Among 60 patients with severe earthquake trauma, there were 20 cases with single-site injury and 40 cases with multi-site injury, amounting to 120 injury sites. A total of 41 cases were injured in the limbs, involving 53 parts of fracture, of which, 11 cases were injured in the upper limbs (12 sites) and 34 cases in the lower limbs (41 sites). A total of 14 cases were injured in the skull (16 sites). 13 cases were injured in the spine involving a total of 14 vertebrae, 20 sites, of which, 10 cases were accompanied by injuries in the brain and spinal cord. A total of 17 cases were injured in the chest, of which 6 cases were accompanied by rib fracture, amounting to 27 sites. A total of 7 cases were accompanied by visceral injury, involving four sites of the abdomen. Conclusion Multi-site and multi-organ injuries are the most after the earthquake, of which, limb fracture is frequently-seen and abdominal injuries are rare. Imaging examination is very useful in screening injuries caused by the earthquake and in treatment based on categorization.

Citation： LEIJun-qiang, ZHANGLi, DOUYu, YAOHong, YANGYu-qin, WANGWen-qi, YANGKe-hu. Injury Sites and Radiologic Features of 60 Patients with Severe Earthquake Trauma in Min-Zhang Earthquake in Gansu Province, 2013. Chinese Journal of Evidence-Based Medicine, 2014, 14(6): 642-645. doi: 10.7507/1672-2531.20140106 Copy

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9.	张宽, 韩瑞良, 芦祥林, 等.玉树特大地震伤员影像学表现及分析.实用放射学杂志, 2011, 27(1):101-110.
10.	Chen TW, Yang ZG, Dong ZH, et al. Earthquake-related crush fractures and non-earthquake-related fractures of the extremities:A comparative radiological study. Emerg Med Australas, 2012, 24(6): 663-669.
11.	戚跃勇, 邹利光, 徐剑铖, 等.后方医院对地震伤的放射诊断价值.中国全科医学, 2011, 11(11):2068-2070.
12.	禹智波, 李福锁, 李锦青, 等.地震伤75例的影像诊断分析.临床军医杂志, 2009, 1(37):109-111.

1. 刘健, 刘丽平, 郭鸿, 等.甘肃省岷县、漳县地震后2周伤员救治组织指挥纪实.中国循证医学杂志, 2013, 8(13):906-911.
2. 刘健, 刘丽平, 张志刚, 等.甘肃省岷县、漳县地震后2周医学救援纪实.中国循证医学杂志, 2013, 8(13):901-905.
3. 何蕊芳, 陈琼琼, 高治国, 等.甘肃省岷县、漳县地震后3周灾区心理危机干预纪实.中国循证医学杂志, 2013, 8(13):912-916.
4. 蒋敏.玉树7.1级地震伤情分类与影像学在地震伤情评估中的应用价值研究.青海大学, 2012:4-7.
5. 张庆江.地震灾害紧急医疗救援的难点及对策探讨.武警医学, 2006, 17(10):788-789.
6. 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.
7. Naghi TM, Kambiz K, Shahriar TM, et al. Musculoskeletal injuries associated with earthquake. A report of injuries of Iran's December 26, 2003 Bam earthquake casualties managed in tertiary referral centers. Injury, 2005, 36(1):27-32.
8. 刘启榆, 王东, 郑卓肇, 等.汶川特大地震伤员影像表现初步总结.中华放射学杂志, 2008, 7(42):679-682.
9. 张宽, 韩瑞良, 芦祥林, 等.玉树特大地震伤员影像学表现及分析.实用放射学杂志, 2011, 27(1):101-110.
10. Chen TW, Yang ZG, Dong ZH, et al. Earthquake-related crush fractures and non-earthquake-related fractures of the extremities:A comparative radiological study. Emerg Med Australas, 2012, 24(6): 663-669.
11. 戚跃勇, 邹利光, 徐剑铖, 等.后方医院对地震伤的放射诊断价值.中国全科医学, 2011, 11(11):2068-2070.
12. 禹智波, 李福锁, 李锦青, 等.地震伤75例的影像诊断分析.临床军医杂志, 2009, 1(37):109-111.

Chinese Journal of Evidence-Based Medicine

Injury Sites and Radiologic Features of 60 Patients with Severe Earthquake Trauma in Min-Zhang Earthquake in Gansu Province, 2013

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