Clinical Analysis of 17 Patients with Chest Injuries in Lushan Earthquake_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

PU Qiang , MA Lin , LIU Chengwu , DU Bin , LIAO Hu , LIN Yidan , WU Zhu , LIU Lunxu.

Department of Thoracic Surgery，West China Hospital，Sichuan University，Chengdu 610041，P. R. China;

Corresponding author：

Keywords：

Earthquake; 　Chest injury; 　Treatment

DOI：

10.7507/1007-4848.20130164

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Objective To summarize our treatment experience for patients with chest injuries in “4•20” Lushan earthquake. Methods Medical records of 17 patients with chest injuries after 2013 Lushan earthquake who were admittedto the Department of Thoracic Surgery，West China Hospital were analyzed retrospectively. The diagnosis of chest injuries was mainly confirmed by medical history，physical examination，X-ray and CT scan of the chest. Clinical characteristics and treatment outcomes were analyzed. Among the 17 patients，there were 14 men and 3 women with their age of 57.3±16.1 years. Results There were 12 patients （70.6%）with crash injury of heavy objects，4 patients （23.5%） with fall injury and 1 patient with road traffic injury. Chest injuries were skin and soft tissue contusion in 17 patients （100%），rib fracturein 15 patients （88.2%） including 1 patient with abnormal respiratory movements，pulmonary contusion in 15 patients （88.2%），hemopneumothorax in 11 patients （64.7%），sternal fracture in 1 patient （5.9%） and bilateral pneumothorax with widespread subcutaneous emphysema in 1 patient （5.9%）. Thirteen patients （76.5%） had concomitant brain，abdominal，orthopedic or nerve injuries. One patient underwent left thoracotomy，clot removal and internal fixation of rib fractures for left coagulated hemothorax and left lower lobe atelectasis. All the 17 patients received timely and effective treatment and there was noin-hospital mortality. Conclusions Mechanisms of earthquake injuries are often complex，and patients often have multipleinjuries. The main types of chest injury are rib fractures and pulmonary contusion. Tube thoracostomy is a simple andeffective treatment strategy for them. Satisfactory pain management and bronchoscopy procedure can effectively help patientswith removal of respiratory secretions and maintenance of airway patency.

Citation： PU Qiang,MA Lin,LIU Chengwu,DU Bin,LIAO Hu,LIN Yidan,WU Zhu,LIU Lunxu.. Clinical Analysis of 17 Patients with Chest Injuries in Lushan Earthquake. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2013, 20(5): 515-517. doi: 10.7507/1007-4848.20130164 Copy

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2.	Hu J， Guo YQ， Zhang EY， et al. Chest injuries associated with earthquakes：an analysis of injuries sustained during the 2008 Wen-Chuan earthquake in China. Surg Today， 2010， 40 （8）：729-733.
3.	Sato K， Kobayashi M， Ishibashi S， et al. Chest injuries and the 2011 Great East Japan Earthquake. Respiratory Investigation， 2013， 51 （1）：24-27.
4.	谢晓冬，屈淑贤. 地震所致外伤的类型和救治要点. 辽宁医学杂志， 2008， 22 （4）：169-171.
5.	刁明强，孙小康，彭志忠，等. 地震群体伤中胸外伤的救治分析. 中国急救复苏与灾害医学杂志， 2008， 3 （1）：645-652.
6.	Toker A， Isitmangil T， Erdik O， et al. Analysis of chest injuries sustained during the 1999 Marmara earthquake. Surg Today， 2002， 32 （9）：769-771.
7.	刘伦旭，石应康. 地震胸部损伤救治的几个问题. 创伤外科杂志， 2009， 11 （3）：287-289.
8.	郑轶峰，刘宝玉，姜建青，等. 5.12汶川地震胸部外伤救治体会. 四川医学， 2009， 30 （9）：1475-1476.
9.	杨林江，高哲俊，刘刚，等. 4•14玉树地震胸部外伤救治体会. 高原医学杂志， 2011， 21 （3）：29-30.
10.	Tanaka H， Yukioka T， Yamaguti Y， et al. Surgical stabilization of internal pneumatic stabilization ? A prospective randomized study of management of severe flail chest patients. J Trauma， 2002， 52 （4）：727-732.
11.	薛欣盛，张中伟，周琰，等. 汶川地震死亡相关因素分析. 中国呼吸与危重监护杂志， 2008， 7 （4）：245-247.

1. 　Hu Y， Tang Y， Yuan Y， et al. Trauma evaluation of patients with chest injury in the 2008 earthquake of Wenchuan， Sichuan， China. World J Surg， 2010， 34 （4）：728-732.
2. 　Hu J， Guo YQ， Zhang EY， et al. Chest injuries associated with earthquakes：an analysis of injuries sustained during the 2008 Wen-Chuan earthquake in China. Surg Today， 2010， 40 （8）：729-733.
3. 　Sato K， Kobayashi M， Ishibashi S， et al. Chest injuries and the 2011 Great East Japan Earthquake. Respiratory Investigation， 2013， 51 （1）：24-27.
4. 　谢晓冬，屈淑贤. 地震所致外伤的类型和救治要点. 辽宁医学杂志， 2008， 22 （4）：169-171.
5. 　刁明强，孙小康，彭志忠，等. 地震群体伤中胸外伤的救治分析. 中国急救复苏与灾害医学杂志， 2008， 3 （1）：645-652.
6. 　Toker A， Isitmangil T， Erdik O， et al. Analysis of chest injuries sustained during the 1999 Marmara earthquake. Surg Today， 2002， 32 （9）：769-771.
7. 　刘伦旭，石应康. 地震胸部损伤救治的几个问题. 创伤外科杂志， 2009， 11 （3）：287-289.
8. 　郑轶峰，刘宝玉，姜建青，等. 5.12汶川地震胸部外伤救治体会. 四川医学， 2009， 30 （9）：1475-1476.
9. 　杨林江，高哲俊，刘刚，等. 4•14玉树地震胸部外伤救治体会. 高原医学杂志， 2011， 21 （3）：29-30.
10. 　Tanaka H， Yukioka T， Yamaguti Y， et al. Surgical stabilization of internal pneumatic stabilization ? A prospective randomized study of management of severe flail chest patients. J Trauma， 2002， 52 （4）：727-732.
11. 　薛欣盛，张中伟，周琰，等. 汶川地震死亡相关因素分析. 中国呼吸与危重监护杂志， 2008， 7 （4）：245-247.

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Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Clinical Analysis of 17 Patients with Chest Injuries in Lushan Earthquake

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