2023 年马拉什地震后市立医院创伤病人的麻醉方法。

Aylin Kılınçarslan, Ceyda Özhan Caparlar, Müge Çakırca, Fatma Özkan Sipahioğlu, Funda Atar, Selma Ölmez, Nur Yılmaz, Merve Karaşahin, Derya Özkan
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引用次数: 0

摘要

背景介绍2023 年 2 月 6 日的卡赫拉曼马拉什地震在我国各地造成了严重破坏。50,000 多人丧生,数千人受伤,医疗设施遭到破坏。灾民被转移到其他省份的医院接受治疗。本研究评估了转到我们三级医院的伤员所采用的麻醉方法:我们对 2023 年 2 月 6 日至 2 月 20 日期间接受手术的患者数据进行了回顾性分析。研究对象包括接受紧急创伤手术的地震伤员,年龄在 10 岁及以上。我们记录了入院日期、人口统计学信息、手术类型、手术部位、麻醉技术、外周阻滞偏好、实验室值、透析和重症监护需求以及存活率。数据分析采用 IBM® 社会科学统计软件包 (SPSS®) 26.0 版:研究共纳入了 375 个病例。其中,323 名患者因四肢损伤接受手术,35 名患者因脊椎损伤接受手术。在四肢损伤中,61.6%为下肢损伤,17.1%为上肢损伤。147名患者接受了清创术,49名患者接受了筋膜切开术,33名患者接受了截肢术。对352名患者实施了全身麻醉,对19名患者实施了脊髓麻醉,对4名患者实施了镇静镇痛。对 33 名患者进行了周围神经阻滞。对 105 名患者进行了透析治疗。26 名患者在治疗过程中死亡。没有患者在术中死亡:结论:地震伤员以四肢受伤为主,因此更倾向于区域麻醉。将 A 计划阻滞纳入基本麻醉技能可提高灾难情况下对区域麻醉的偏好。此外,将伤员转送至先进的中心可降低发病率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Anesthetic approach to trauma patients in the city hospital after the 2023 Maraş earthquake.

Background: The February 6, 2023, Kahramanmaraş earthquake caused significant destruction across our country. More than 50,000 people lost their lives, thousands were injured, and health facilities were damaged. Victims were transferred to hospitals in other provinces for treatment. This study evaluates the anesthesia approach applied to the injured who were transferred to our tertiary hospital.

Methods: We retrospectively reviewed the data of patients who underwent surgery between February 6 and February 20, 2023. The study included earthquake victims who underwent emergency trauma surgery, aged 10 years and above. We recorded the date of admission to the hospital, demographic information, type of surgery, surgical site, anesthesia technique, preference for peripheral block, laboratory values, dialysis and intensive care needs, and survival rates. Data analysis was performed using the IBM® Statistical Package for the Social Sciences (SPSS®) Version 26.0.

Results: A total of 375 cases were included in the study. Of these, 323 patients underwent surgery for extremity injuries, and 35 for vertebral injuries. Among the extremity injuries, 61.6% were to the lower extremities, and 17.1% to the upper extremities. Debridement was performed on 147 patients, fasciotomy on 49 patients, and amputation on 33 patients. General anesthesia was applied to 352 patients, spinal anesthesia to 19 patients, and sedoanalgesia to four patients. Peripheral nerve block was performed on 33 patients. Dialysis treatment was administered to 105 patients. Twenty-six patients were lost during the treatment process. There were no intraoperative patient deaths.

Conclusion: The predominance of extremity injuries among earthquake victims increases the inclination towards regional anesthesia. Incorporating Plan A blocks into basic anesthesia skills could enhance the preference for regional anesthesia in disaster situations. Furthermore, transferring the injured to advanced centers may reduce morbidity.

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