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汇047 地震相关的肌肉骨骼系统损伤的报告
Injury. 2005 Jan;36(1):27-32
Musculoskeletal injuries associated with earthquake. A report of injuries of Iran's December 26, 2003 Bam earthquake casualties managed in tertiary referral centers.
Tahmasebi MN, Kiani K, Mazlouman SJ, Taheri A, Kamrani RS, Panjavi B, Harandi BA.
Department of Orthopedic and Trauma Surgery, Shariati Hospital, Tehran University
of Medical Sciences, Tehran, Iran. mntahmasebi@hotmail.com
This is a descriptive analysis, performed on victims of Iran's December 26, 2003 Bam earthquake that were referred to tertiary referral trauma management centre in Tehran. Two hundred and ten patients were included in this study. Associated musculoskeletal injuries and renal function of the patients were recorded. The mean time under rubble was 1.9 h in our patients with a mean rescue to first medical aid time of 13.5 h. We had 19 cases of compartment syndrome and 6.7% of patients had impaired renal function. The incidence of compartment syndrome had a direct relation to the time under rubble and the incidence of renal failure was directly related to rescue to first medical aid time. Axial skeleton fractures, amongst them the lateral compression type pelvic fractures, were particularly common. Fracture associated neural injuries were also common. Institution of renal protective protocols from the very first hours after injury more conservative approaches to treatment of fractures in these crush trauma patients
are strongly recommended.
PMID: 15589909 [PubMed - indexed for MEDLINE] 本人已认领该文编译，48小时后若未提交译文，请其他战友自由认领。 Musculoskeletal injuries associated with earthquake A report of injuries of Iran’s December 26, 2003 Bam earthquake casualties managed in tertiary referral centers
Summary
This is a descriptive analysis, performed on victims of Iran’s December 26, 2003 Bam earthquake that were referred to tertiary referral trauma management centre in Tehran. Two hundred and ten patients were included in this study. Associated musculoskeletal injuries and renal function of the patients were recorded. The mean time under rubble was 1.9 h in our patients with a mean rescue to first medical aid time of 13.5 h. We had 19 cases of compartment syndrome and 6.7% of patients had impaired renal function. The incidence of compartment syndrome had a direct relation to the time under rubble and the incidence of renal failure was directly related to rescue to first medical aid time. Axial skeleton fractures, amongst them the lateral compression type pelvic fractures, were particularly common. Fracture associated neural injuries were also common. Institution of renal protective protocols from the very first hours after injury more conservative approaches to treatment of fractures in these crush trauma patients are strongly recommended.
汇047 地震相关的肌肉骨骼系统损伤的报告，伊朗2003年12月26日巴姆地震伤情报告
摘要
本文对伊朗2003年12月26日巴姆地震之后德黑兰创伤管理中心的资料进行了描述性的统计分析。本研究包括210例患者。其肌肉骨骼系统损伤和肾功能情况均有记录。患者被压在瓦砾之中的平均时间是1.9小时，平均获得医疗急救的时间为13.5小时。19例发生筋膜间隔综合征，6.7 ％的患者肾功能受损。骨筋膜室综合征的发病率与被压时间直接相关而肾功能衰竭的发病率与医疗急救时间直接相关。躯干骨骼骨折中，骨盆侧方压缩骨折尤为常见。骨折合并神经损伤也很普遍。为保护肾功能，创伤早期，强烈建议对严重挤压伤患者采取保守治疗。
Introduction
During severe seismic activities of earth, translated as more than 6—7 in Richter’s scale, cracks and fissures appear in the ground, trees and rocks are uprooted and buildings collapse. The amount of destruction is in direct relation with the quality of the structure of buildings and ‘‘preventing collapse’’ engineering standards, in the case of Bam, mud brick buildings with the least tolerance of seismic waves.
During the collapse of a single story building 80% of those trapped inside die.1 The immediate causes of death are head, chest and abdominal crush injuries, followed later by suffocation, exsanguinations and onset of acute renal failure.13 The speed and skill with which the rescue teams save the casualties and the quality of post-rescue care are the next important factors. Soft tissue crush injuries, fractures, compartment syndromes and renal failure due to crush syndromes are musculoskeletal complications that should be addressed from the very first hours or they will result in life-threatening or life-long consequences that could have been preventable.
导言
严重的地震，规模超过李氏6-7级，大地出现裂隙，树木和岩石连根拔起，建筑物倒塌。破坏程度与房屋的质量和抗震标准直接相关。在巴姆， 泥砖结构的建筑物是最不耐受地震波的。
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作者:admin@医学,生命科学 2010-11-09 05:11
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