汶川大地震后耳鼻咽喉专业地震伤情谱分析

目的 分析汶川地震灾害后地震伤员耳鼻咽喉专业相关伤情特点及伴发伤特点,为日后处理类似灾害事件提供资料.方法 收集汶川地震灾区绵阳市城区及其周边4个5·12受灾严重的区市县11家大中型医院(含外援医疗队)诊治地震伤员耳鼻咽喉科相关伤病情况,对其人群特点及受伤部位等进行综合分析.结果 11家医院共诊治耳鼻咽喉专业相关患者289例,其中有资料记录者217例,耳部损伤及头颈部伤为主要症状者较多(79例),鼻部面部损伤及骨折者亦常见(43例),咽喉气管损伤较少(2例).伴发伤多为骨折、全身多处软组织伤及皮肤擦伤等,颅脑损伤者及颅骨骨折也常发生,尚可合并眼眶骨折、眼球损伤等.结论 不同灾害造成的损伤各有不同,建立灾害后相关专业伤病情况谱,对于在处理类似情况中更积极有效抢救患者生命及安排人员物资等有重要意义.

Anatomic analysis of Wenchuan earthquake injuries with otorhinolaryngology symptoms

Objective To analyze the injuries after the earthquake with otorhinolaryngology symptoms and the characteristics of with iniuries and to provide some information when dealing with similar disasters in the future. Methods The basic information of earthquake-related iniuries with otorhinolaryngology symptoms was collected in 11 large and medium-sized hospitals (including foreign medical teams) in Mianyang City and the surrounding four hard-hit counties.Their characteristics were analyzed together. Results There were 289 patients that have otorhinolaryngology symptoms in the 11 included hospitals, among them there were 217 cases have deftnite records that could be analyzed.The data showed that damage to ear and head and neck injuries as the main symptoms was large proportion of injuries suffer multiple fractures and soft tissue injuries such as skin abrasions.Nose injury and facial fractures were also common.Orbital fracture and eye damage could be combined occurred.Brain injury and skull fractures often occurred while trachea and throat injury was rare happened. Conclusions Different disaster cause different damage.After the establishment of disaster-related injuries in professional spectrum more active and effective could be behaved in life rescue and the arrangement of personnel and material when dealing with similar situations.