The clinical features and therapeutic measures of transferred orthopedic patients in Wenchuan earthquakes
Wei Jiang
Abstract
Wei Jiang
Abstract
Objective To summarize the clinical characteristics and the treatment experience of the patients evacuated from Wenchuan earthquake area. Methods We admitted 129 patients who had been injuried in the 5·12 Wenchuan earthquake from May 13th to June 10th ,2008. The recording content included chief complaints,diagnosis,damage locations and types ,whether with infection or not,treatment ,efficacy and so on. Results There were 95 fracture cases which included 35 open fractures with 51 fracture sites,and 60 closed fracture cases with 139 fracture sites; 39 associated with neural injuries in 26 patients(20.2%);54 cases had infection(31.8%);110 cases had operations;there were no death cases,but one outside hospital amputation patient had multiple Stump debridement and trimming due to severe infection; all open fracture cases have been healing except 2 cases until now;no cases were with infection after operation. Conclusion The clinical characteristics of the patients evacuated from Wenchuan earthquake were outstanding,individualization remedy was needed according to the clinical characteristics and we should prevent and cure correlate complications positively in order to depress the fatality and disability rate.
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Objective To summarize the clinical characteristics and the treatment experience of the patients evacuated from Wenchuan earthquake area. Methods We admitted 129 patients who had been injuried in the 5·12 Wenchuan earthquake from May 13th to June 10th ,2008. The recording content included chief complaints,diagnosis,damage locations and types ,whether with infection or not,treatment ,efficacy and so on. Results There were 95 fracture cases which included 35 open fractures with 51 fracture sites,and 60 closed fracture cases with 139 fracture sites; 39 associated with neural injuries in 26 patients(20.2%);54 cases had infection(31.8%);110 cases had operations;there were no death cases,but one outside hospital amputation patient had multiple Stump debridement and trimming due to severe infection; all open fracture cases have been healing except 2 cases until now;no cases were with infection after operation. Conclusion The clinical characteristics of the patients evacuated from Wenchuan earthquake were outstanding,individualization remedy was needed according to the clinical characteristics and we should prevent and cure correlate complications positively in order to depress the fatality and disability rate.
Key concepts: Medicine, Case fatality rate, Amputation, Orthopedic surgery, Open fracture, Debridement (dental), Surgery, Internal medicine