33例芦山地震儿童伤员伤情特点及早期康复策略
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摘要
目的调查四川大学华西医院收治的33例≤14岁芦山地震儿童伤员的伤情特点,并提出早期康复策略。方法分析儿童地震伤员的受伤年龄、致伤原因、受伤情况,并采用改良巴氏指数评定量表调查其日常生活能力。结果①华西医院收治33例芦山地震儿童伤员占该院收治地震伤员的10.28%,平均年龄7.24岁。其中四肢躯干骨折17例,颅脑损伤6例,软组织损伤4例。②主要致伤原因是高处坠物所致的砸伤和重物的压砸伤;部分儿童在奔跑过程中出现摔伤,烫伤和坠落伤少见。③儿童伤员以简单开放性损伤和骨折居多,多以四肢骨折为主(约占总例数的51.51%,腹腔脏器损伤仅1例)。④33例儿童伤员中,30例(占总数的90.9%)来自城镇乡村,其受伤原因多为房屋或院墙倒塌所致,因其结构强硬程度远不及城市房屋,故发生重症损伤的几率较低、受伤程度较轻,重要脏器的损伤相对较小。结论早期康复治疗有利于防止并发症和早期恢复功能,建议对儿童地震伤员进行早期康复治疗,促进骨折愈合和功能恢复,预防并发症。另外,在关注其康复训练时,心理问题也需引起重视。
Objective To investigate the injury characteristics of 33 children of Lushan earthquake victims no more than 14 years old treated in the West China Hospital of Sichuan University,and to put forward the early rehabilitation strategy.MethodsA total of 33 earthquake children victims were investigated with the modified barthel index score(MBI) and analyzed in following aspects: age,causes,and injury.Resultsa) The 33 children victims accounted for 10.28% of the total earthquake victims treated in the hospital,they were all no more than 14 years old,and the average age was 7.24 years old.17 cases were fractures of trunk and limbs,six were traumatic brain injury,and four were soft tissue injury.b) The main traumatic causes were crush by falling objects and heavy stuffs;and some children rarely suffered from hurt,burn and fall injury when running.c) Most children victims were simple open injuries and fractures,especially the limbs fractures accounted for 51.51% of the total cases,and there was only one case suffered from abdominal organ injuries.d) Among 33 children victims,30(90.9%) were from the towns and villages.They mainly got injured by the collapse of house or courtyard walls which were not as stronger as the house in the cities,so the incidence of severe injury was lower,the degree of injury was milder,and the injury of major organ was rarer.ConclusionEarly rehabilitation treatment is helpful to prevent the complications and early recover the functions.It suggests the early rehabilitation treatment should be carried out for the earthquake children victims in order to promote the fracture healing and functional recovery,as well as to prevent the complications.In addition,attention should also be paid to the psychological problems while concerning rehabilitation training.
Objective To investigate the injury characteristics of 33 children of Lushan earthquake victims no more than 14 years old treated in the West China Hospital of Sichuan University,and to put forward the early rehabilitation strategy.MethodsA total of 33 earthquake children victims were investigated with the modified barthel index score(MBI) and analyzed in following aspects: age,causes,and injury.Resultsa) The 33 children victims accounted for 10.28% of the total earthquake victims treated in the hospital,they were all no more than 14 years old,and the average age was 7.24 years old.17 cases were fractures of trunk and limbs,six were traumatic brain injury,and four were soft tissue injury.b) The main traumatic causes were crush by falling objects and heavy stuffs;and some children rarely suffered from hurt,burn and fall injury when running.c) Most children victims were simple open injuries and fractures,especially the limbs fractures accounted for 51.51% of the total cases,and there was only one case suffered from abdominal organ injuries.d) Among 33 children victims,30(90.9%) were from the towns and villages.They mainly got injured by the collapse of house or courtyard walls which were not as stronger as the house in the cities,so the incidence of severe injury was lower,the degree of injury was milder,and the injury of major organ was rarer.ConclusionEarly rehabilitation treatment is helpful to prevent the complications and early recover the functions.It suggests the early rehabilitation treatment should be carried out for the earthquake children victims in order to promote the fracture healing and functional recovery,as well as to prevent the complications.In addition,attention should also be paid to the psychological problems while concerning rehabilitation training.
引文
1王玉龙.康复功能评定学.北京:人民卫生出版社,2008:370-371.
2权毅,邓少林,潘显明,等.56例儿童地震伤员伤情特点与治疗.西南国防医药,2009,19(3):307-308.
3 Stellard P,Velleman R,Langsford J,et al.Coping and psychologi-cal distress in children involved in road accidents.Br J Clin Psychol,2001,40(Pt 2):197-208.
4李春秋,柳铭心,王力,等.北川极重灾区小学生地震后创伤症状评估.中国临床心理学杂志,2010,18(1):66-68.
2权毅,邓少林,潘显明,等.56例儿童地震伤员伤情特点与治疗.西南国防医药,2009,19(3):307-308.
3 Stellard P,Velleman R,Langsford J,et al.Coping and psychologi-cal distress in children involved in road accidents.Br J Clin Psychol,2001,40(Pt 2):197-208.
4李春秋,柳铭心,王力,等.北川极重灾区小学生地震后创伤症状评估.中国临床心理学杂志,2010,18(1):66-68.
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