Analysis of the current situation of diagnosis and therapy in Chinese severe explosion accidents over the past 15 years
Yang Ce1，Jiang Jianxin1，Du Juan1，Wang Haiyan1，Gao Jie1，Liu Zhanli2，Zhuang Zhuo2，Wang Zhengguo1
1State Key Laboratory of Trauma,Burns and Combined Injury,Institute of Surgery Research,Daping Hospital,Third Military Medical University,Chongqing 400042,China；2School of Aerospace,Tsing hua University,Beijing 100084,China
Abstract：ObjectivesTo investigate the epidemiological characteristic of explosion accidents as well as the possible measures for their diagnosis and treatment.MethodsWe retrospectively investigated the accidents reasons,injury regularity and casualty characteristic of 174 explosion accidents in China from January 1,2000 to October 1,2015.The integrated strategy of explosion prevention,injury relief and psychosomatic rehabilitation were also been analyzed from the view of prevention,diagnosis and treatment of explosive blast injury.ResultsThe explosion accidents happened in 30 provinces,municipalities and autonomous regions in China.The explosive elements were complicated and diversified,mainly including chemicals,dust,cell phones,burning air,improvised explosive devices,gas,fireworks,petroleum,boilers and other rare explosive goods.Among them,explosions of chemicals,dust and cell phones constituted the first three major reasons.In these 174 accidents,the total number of casualty reached 7062.The numbers of injured and died were 4313 and 2749 respectively.The average numbers of casualty per accident were 24.79 (injured),15.80 (died),40.59 (casualty).The numbers of accidents located the first three major types were 33 (79%) for chemical,21 (78%) for dust and 20 (91%) for burning air in injured people exposed to explosion accidents.The casualty of chemical (2714/7062),dust (1268/7062) and gas (1215/7062) explosions located the first top three types.Correspondingly,the numbers of casualty per accident were 67.00,46.96 and 93.46 respectively,while the casualty ratios were 88%,81％ and 100％.ConclusionsGiven the epidemiological characteristics of explosive blast injury in China,we need to form the expert consensus for the diagnosis and treatment of explosive blast injury in view of an individualized idea.The efficient remedy flowsheet and emergency team via multiple subjects′ integration are also in great need.Concurrently,the new equipment and measures of diagnosis as well as treatment concerning the individualized remedy should also be considered.
杨策1蒋建新1杜娟1王海燕1高洁1柳占立2庄茁2王正国1. 2000年至2015年国内174起爆炸事故冲击伤诊治分析[J]. 中华诊断学电子杂志, 2016, 4(1): 36-.
Yang Ce1，Jiang Jianxin1，Du Juan1，Wang Haiyan1，Gao Jie1，Liu Zhanli2，Zhuang Zhuo2，Wang Zhengguo1. Analysis of the current situation of diagnosis and therapy in Chinese severe explosion accidents over the past 15 years. zhzdx, 2016, 4(1): 36-.
