Analysis of 107 Patients with Multiple Injuries Combined with Thoracic Trauma after the Wenchuan Earthquake by a Frontier Third-class First-grade Hospital_Chinese Journal of Evidence-Based Medicine

Authors：

DIAO Mingqiang ,  SUN Xiaokang , PENG Zhizhong , TAN Cheng , GUO Xiangdong , ZHAO Changming , HONG Lan , XUE Yang

Department of Thoracic Surgery, The People’s Hospital of Deyang, Deyang 618000, China;

Corresponding author：

SUN Xiaokang, Email: sxk9796@126.com

Keywords：

Frontier third-class one-grade hospital; Wenchuan earthquake; Multiple injury; Throacic trauma

DOI：

10.7507/1672-2531.20090034

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective 　To summarize the treatment and outcomes of patients with multiple injuries combined with thoracic trauma following the Wenchuan earthquake.
Methods 　The wounded patients admitted from 12th to 31st May with multiple injuries combined with thoracic trauma after the earthquake were retrospectively analyzed. This includes baseline information, treatments, outcomes and deaths.
Results 　Liver repair, spleen abscission, decompression and removed of intracranial hematoma ranked the first three of the main reasons for the emergency surgery death of multiple injuries. Heart-lung machine support, trachea cannula and closed drainage of thoracic cavity ranked the first three of the main reasons for the death of thoracic trauma. Moreover, ARDS, fracture of sternum and flail chest ranked the first three of the main reasons for the death of other multiple injuries. All the casualties had the worst situation with high ISS scores. The main death reasons were cerebral wound, peritoneum viscera injuries and the four limbs and pelvis injuries. Besides, the severe thoracic trauma accelerated their death.
Conclusion 　 Main death reasons for the inpatients with multiple injuries combined with thoracic trauma are hemorrhagic shock and severe cerebral wound. The thoracic trauma degree will increase the risk of their death. The more the injury positions, the higher ISS scores, and the more serious thoracic trauma, the higher mortality rate. Rapid examination and diagnosis, rapied triage and distribution of thoracic trauma can help to create more chances for the further treatment and increase the success rate of rescue.

Citation： DIAO Mingqiang,SUN Xiaokang,PENG Zhizhong,TAN Cheng,GUO Xiangdong,ZHAO Changming,HONG Lan,XUE Yang. Analysis of 107 Patients with Multiple Injuries Combined with Thoracic Trauma after the Wenchuan Earthquake by a Frontier Third-class First-grade Hospital. Chinese Journal of Evidence-Based Medicine, 2009, 09(2): 162-165. doi: 10.7507/1672-2531.20090034 Copy

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1. Toker A, Isitmanqil T, Erdik o, et al. Analysis of chest injuries sustained during the 1999 Marmara earthquake. Surg Today, 2002, 32(9): 769-771.
2. Ozdo?an S, Hocao?lu A, Ca?layan B, et al. Thorax and lung injuries arising from the two earthquakes in Turkey in 1999. Chest, 2001, 120(4): 1163-1166.
3. 张连阳. 胸部创伤救治现状. 创伤外科杂志, 2007, 9(5): 475-477.
4. Ghodsi SM, Zargar M, Khaji A, et al. Chest injury in victims of Bam earthquake. Chin J Traumatol, 2006, 9(6): 345-348.
5. 王一镗. 严重创伤救治的策略—损伤控制性手术. 中华创伤杂志, 2005, 21(1): 32-35.
6. Hoey BA, Schwab CW. Damage control surgery. Scand J Surg, 2002, 91(1): 92-103.
7. 赵喜森. 重症难治性休克的机制和治疗. 中华创伤杂志, 2003, 19(16): 325.
8. Varela JE, Cohn SM, Diaz I, et al. Splanchnic perfusion during delayed, hypotensive, or aggressive fluid resuscitation from uncontrolled hemorrhage. Shock, 2003, 20(5): 476-480.
9. 李泽坚. 我国胸外科的发展和展望. 中华外科杂志, 2006, 14(2): 937-939.
10. 杨帆, 白祥军, 唐朝晖, 等. 4519例多发伤院内救治分析. 中国医学科学院学报, 2007, 29(4): 471-477.
11. Buduhan G, McR itchie DI. Missed injuries in patients with multiple trauma. J Trauma, 2000, 49(3): 600-605.

Chinese Journal of Evidence-Based Medicine

Analysis of 107 Patients with Multiple Injuries Combined with Thoracic Trauma after the Wenchuan Earthquake by a Frontier Third-class First-grade Hospital

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