二线三甲医院汶川地震48小时内腹部损伤救治分析
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摘要
目的回顾性分析成都军区总医院48h内收治的33例汶川地震腹部损伤住院伤员伤情,为今后完善和健全地震灾害应急预案机制和腹部损伤处置提供决策参考。方法从医院信息处系统收集震后48h内收治腹部损伤地震伤员的相关资料,分析伤员基本情况。资料采用EXCEL表格录入。结果我院48h内共收治住院腹部伤伤员33例,占住院伤员总数的3.1%,伤员伤情重、病情复杂。最终成功救治32例,死亡1例,病死率3%。结论作为二线三甲医院,在震后48h内对腹部损伤伤员的救治中,快速二次分检起积极作用,合理的损伤控制手术及术后多学科合作处理是有效降低伤员病死率的关键。
Objective To analyze the outcome of patients with abdominal injury(AI)in the Chengdu Army General Hospital within 48 hours after the Wenchuan earthquake,in order to provide evidence for future improvement in emergency response after earthquakes and in the treatment of AI patients.Methods Data on the AI patients within 48 hours after the earthquake were collected from the Information Department of the Hospital.Microsoft EXCEL was used for data input.Results A total of 33 AI inpatients were treated which was 3.1% of the total inpatients.The AI inpatients suffered severe and complex injuries,and one of them died(mortality rate:3%).Conclusion As a second-line Grade-A hospital,prompt triage is very important to patients who were rescued 48 hours after the earthquake.Reasonable damage control surgery and remedies prepared by medical staff from different specialties after the operations may decrease mortality rate.
Objective To analyze the outcome of patients with abdominal injury(AI)in the Chengdu Army General Hospital within 48 hours after the Wenchuan earthquake,in order to provide evidence for future improvement in emergency response after earthquakes and in the treatment of AI patients.Methods Data on the AI patients within 48 hours after the earthquake were collected from the Information Department of the Hospital.Microsoft EXCEL was used for data input.Results A total of 33 AI inpatients were treated which was 3.1% of the total inpatients.The AI inpatients suffered severe and complex injuries,and one of them died(mortality rate:3%).Conclusion As a second-line Grade-A hospital,prompt triage is very important to patients who were rescued 48 hours after the earthquake.Reasonable damage control surgery and remedies prepared by medical staff from different specialties after the operations may decrease mortality rate.
引文
1田伏洲,陈涛,汤礼军,等.震区后方医院快速分检处理腹部损伤.中华消化外科杂志,2008,7(4):246-248.
2刘勇,刘山,刘震,等.一线三甲医院汶川地震7天内23例腹部闭合性损伤救治分析区后方医院快速分检处理腹部损伤.中国循证医学杂志,2009,35(3):166-170.
3Rotondo MF,Schwab CW,Mcgoniqei MD,et al.'Damage control':an approach for improved survival in exsanguinating penetrating abdominal injury.J Trauma,1993,216(3):375-383.
2刘勇,刘山,刘震,等.一线三甲医院汶川地震7天内23例腹部闭合性损伤救治分析区后方医院快速分检处理腹部损伤.中国循证医学杂志,2009,35(3):166-170.
3Rotondo MF,Schwab CW,Mcgoniqei MD,et al.'Damage control':an approach for improved survival in exsanguinating penetrating abdominal injury.J Trauma,1993,216(3):375-383.
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