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目的 对2013年甘肃省岷县、漳县地震重症伤员的受伤部位及其影像学特点进行分析.方法 回顾性收集在地震发生7天内送往兰州市各大医院的岷县、漳县60例地震重症伤员的临床资料,采用Excel软件录入数据并进行分析.结果 60例地震伤员中,20例为单部位损伤,40例为多部位损伤,受伤部位共计120处.四肢伤41例,共53个部位骨折,其中上肢11例(12个部位),下肢34例(41个部位).头颅伤14例,共16个部位.脊柱伤13例,共累及14个椎体,20个部位,其中10例伴有脑和脊髓损伤.胸部伤17例,伴有肋骨骨折6例,骨折27处.另外,7例伤员伴有内脏损伤,累及腹部4个部位.结论 此次地震伤以全身多部位、多器官损伤为多,其中以四肢骨折多见,腹部损伤少见.影像检查有助于地震伤员的筛查及分类治疗.“,”Objective To analyze injury sites and radiologic features of 60 patients with severe earthquake trauma in Min-Zhang earthquake in 2013.Methods We retrospectively collected clinical data of 60 patients with severe earthquake trauma who were sent to major hospitals in Lanzhou city within 7 days after the earthquake.The software of Excel was used to input and analyze clinical data.Results Among 60 patients with severe earthquake trauma,there were 20 cases with single-site injury and 40 cases with multi-site injury,amounting to 120 injury sites.A total of 41 cases were injured in the limbs,involving 53 parts of fracture,of which,11 cases were injured in the upper limbs (12 sites) and 34 cases in the lower limbs (41 sites).A total of 14 cases were injured in the skull (16 sites).13 cases were injured in the spine involving a total of 14 vertebrae,20 sites,of which,10 cases were accompanied by injuries in the brain and spinal cord.A total of 17 cases were injured in the chest,of which 6 cases were accompanied by rib fracture,amounting to 27 sites.A total of 7 cases were accompanied by visceral injury,involving four sites of the abdomen.Conclusion Multi-site and multi-organ injuries are the most after the earthquake,of which,limb fracture is frequently-seen and abdominal injuries are rare.Imaging examination is very useful in screening injuries caused by the earthquake and in treatment based on categorization.