[Deep vein thrombosis in Noto Peninsula earthquake victims].
The earthquake occurred in the Noto Peninsula in the northern part of Ishikawa prefecture, Japan, at 9:25 a.m. on March 25th 2007. Medical activities for prevention of deep vein thrombosis (DVT), early detection of DVT, and early treatment of DVT were performed immediately after the earthquake on the basis of a previous report regarding earthquake disasters. This report described the conditions involved in the development of DVT. General inhabitants in shelters were examined by questionnaires, venous ultrasonography of lower limb, and blood tests. The DVT-positive rate was 10.6% (21 cases/198 cases), and the soleal vein was the most common location of DVT accounting for 71.4% of cases(20 lower limbs/28 lower limbs). Plasma levels of fibrin/fibrinogen degradation products and D-dimer in the DVT-positive group (20 cases) were significantly higher than those in the DVT-negative group(162 cases) (P<0.03). No deaths or cases of serious illness caused by DVT were reported in the earthquake. The medical activities described here were effective due to the past experience and the cooperation of many people.
Terakami
Takako
T
Department of Laboratory Sciences, Kanazawa University Hospital, Kanazawa 920-8641, Japan.
Ohba
Noriko
N
Morishita
Eriko
E
Yoshida
Tomotaka
T
Asakura
Hidesaku
H
Kimura
Keiichi
K
Ohtake
Hiroshi
H
Watanabe
Gou
G
Fujita
Shinichi
S
Wada
Takashi
T
D015415:Biomarkers / Q000032:analysis; D042241:Early Diagnosis; D055866:Earthquakes / Q000706:statistics & numerical data*; D005338:Fibrin Fibrinogen Degradation Products / Q000032:analysis; D006801:Humans; D007564:Japan / Q000453:epidemiology; D007866:Leg / Q000098:blood supply; D014463:Ultrasonography; D014680:Veins / Q000000981:diagnostic imaging; D020246:Venous Thrombosis / Q000175:diagnosis / Q000453:epidemiology* / Q000517:prevention & control / Q000628:therapy
D015415:Biomarkers; D005338:Fibrin Fibrinogen Degradation Products; C036309:fibrin fragment D