芦山地震72小时内德阳市人民医院25例伤员医疗救治分析
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摘要
目的通过分析"4.20"芦山地震72小时内德阳市人民医院收治的25例地震伤员的伤情特点、救治过程和效果,探讨在灾难救援中如何更好应用应急预案实施医学救援。方法收集四川省德阳市人民医院在2013年4月20日～4月23日收治的25例地震伤员资料,分析伤员年龄、性别、受伤部位、各年龄组受伤情况和伤员转归。结果 25例伤员共出现32处损伤,其中20例(80%)伤员为单个部位伤,5例(20%)为多部位伤。伤员多为四肢损伤、体表和软组织损伤,单个部位伤明显多于多部位伤。入院伤员人数在震后第1天最多,占92.00%,明显多于震后2～3天。19～45岁年龄组伤员多于其他年龄组。结论科学的急救指挥体系和灾害应急预案在灾害救援中发挥了重要作用,缩短了应急反应时间,提升了灾害应急救援能力。只有加强广大群众对灾害应急预案和联合演练的宣传教育,同时保障灾区通讯和交通畅通,以及社会多方面的共同协作努力,才能提高自救和对灾区有序的综合救援能力。
Objective To analyze the injury characteristics and the rescue process and effects for the victims admitted in the People's Hospital of Deyang City within 72 hours after 4.20 Lushan earthquake,so as to discuss how to adopt the emergency program to implement medical rescue in disaster relief.MethodsThe data of 25 earthquake victims admitted in the hospital from April 20th,2013 to April 23rd,2013 were collected to analyze age,gender,the location of injury,the injury state of different age groups,and the prognosis of victims.ResultsOf the 25 victims with injuries on 32 locations of the body,there were 20 cases with single injury(80.00%) and 5 cases with multiple injuries(20.00%).Most injuries were seen in four limbs,body surface,and soft tissues;and the incidence of single injury was higher than that of multiple injuries.The number of admitted victims was largest on the first day after earthquake,accounted for 92.00%,which was obviously higher than that on the second and the third day.Victims aged from 19 to 45 years old was more than those of other ages.ConclusionScientific emergency commandsystem and disaster emergency program play an high-efficient command role in disaster rescue,shorten the time of emergency response,and improve the ability of disaster rescue.The comprehensive capacity of self-rescue and well-organized rescue for disaster area can be improved as long as the general public is educated about the disaster emergency program and cooperativeemergency drill.Meanwhile,smooth traffic and unobstructed communication are guaranteed in the disaster area,and the cooperative efforts are made by all walks of society.
Objective To analyze the injury characteristics and the rescue process and effects for the victims admitted in the People's Hospital of Deyang City within 72 hours after 4.20 Lushan earthquake,so as to discuss how to adopt the emergency program to implement medical rescue in disaster relief.MethodsThe data of 25 earthquake victims admitted in the hospital from April 20th,2013 to April 23rd,2013 were collected to analyze age,gender,the location of injury,the injury state of different age groups,and the prognosis of victims.ResultsOf the 25 victims with injuries on 32 locations of the body,there were 20 cases with single injury(80.00%) and 5 cases with multiple injuries(20.00%).Most injuries were seen in four limbs,body surface,and soft tissues;and the incidence of single injury was higher than that of multiple injuries.The number of admitted victims was largest on the first day after earthquake,accounted for 92.00%,which was obviously higher than that on the second and the third day.Victims aged from 19 to 45 years old was more than those of other ages.ConclusionScientific emergency commandsystem and disaster emergency program play an high-efficient command role in disaster rescue,shorten the time of emergency response,and improve the ability of disaster rescue.The comprehensive capacity of self-rescue and well-organized rescue for disaster area can be improved as long as the general public is educated about the disaster emergency program and cooperativeemergency drill.Meanwhile,smooth traffic and unobstructed communication are guaranteed in the disaster area,and the cooperative efforts are made by all walks of society.
引文
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5刘纪宁,杨雍,吕汝琦,等.有效预检分诊在汶川地震伤员救治中的作用.中华急诊医学杂志,2008,17(7):681-683.
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2董谢平,沈录峰.国内外灾害医学救援现状分析.临床急诊杂志,2010,11(4):207-209.
3李龙鹤.完善创伤急救体系提高创伤救治水平.海南医学,2008,19(12):101-102,88.
4赵鲁平,张标,黄毅.以“科学救援”指导医疗急救——论汶川大地震德阳灾区应急医学救援.中国急救复苏与灾害医学杂志,2008,3(8):455-457.
5刘纪宁,杨雍,吕汝琦,等.有效预检分诊在汶川地震伤员救治中的作用.中华急诊医学杂志,2008,17(7):681-683.
6王立祥.地震自救口诀.中国中西医结合急救杂志,2008,15(3):170.
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