Earthquake-related Crush Injury versus Non-Earthquake Injury in Abdominal Trauma Patients on Emergency Multidetector Computed Tomography: A Comparative Study.
10.3346/jkms.2011.26.3.438
- Author:
Tian wu CHEN
1
;
Zhi gang YANG
;
Zhi hui DONG
;
Zhi gang CHU
;
Si shi TANG
;
Wen DENG
Author Information
1. Sichuan Key Laboratory of Medical Imaging, and Department of Radiology, Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan, China.
- Publication Type:Original Article ; Comparative Study ; Research Support, Non-U.S. Gov't
- Keywords:
Earthquakes;
Abdomen;
Injury;
Multidetector Computed Tomography
- MeSH:
Abdominal Injuries/*radiography;
Adolescent;
Adult;
Aged;
Aged, 80 and over;
Child;
Child, Preschool;
Cross-Sectional Studies;
Disasters;
*Earthquakes;
Female;
Humans;
Male;
Middle Aged;
Tomography Scanners, X-Ray Computed
- From:Journal of Korean Medical Science
2011;26(3):438-443
- CountryRepublic of Korea
- Language:English
-
Abstract:
The aim of this study was to investigate features of abdominal earthquake-related crush traumas in comparison with non-earthquake injury. A cross sectional survey was conducted with 51 survivors with abdominal crush injury in the 2008 Sichuan earthquake, and 41 with abdominal non-earthquake injury, undergoing non-enhanced computed tomography (CT) scans, serving as earthquake trauma and control group, respectively. Data were analyzed between groups focusing on CT appearance. We found that injury of abdominal-wall soft tissue and fractures of lumbar vertebrae were more common in earthquake trauma group than in control group (28 vs 13 victims, and 24 vs 9, respectively; all P < 0.05); and fractures were predominantly in transverse process of 1-2 vertebrae among L1-3 vertebrae. Retroperitoneal injury in the kidney occurred more frequently in earthquake trauma group than in control group (29 vs 14 victims, P < 0.05). Abdominal injury in combination with thoracic and pelvic injury occurred more frequently in earthquake trauma group than in control group (43 vs 29 victims, P < 0.05). In conclusion, abdominal earthquake-related crush injury might be characteristic of high incidence in injury of abdominal-wall soft tissue, fractures of lumbar vertebrae in transverse process of 1-2 vertebrae among L1-3 vertebrae, retroperitoneal injury in the kidney, and in combination with injury in the thorax and pelvis.
