军队医院接收青海玉树726例地震伤病员救治情况分析
摘要
目的总结分析军队医院接收青海玉树地震后送伤病员的救治措施与经验。方法将4月15日～24日军队医院收治的地震伤病员726例作一总结分析。结果 726例地震伤病员中,地震伤598例,其中复合伤4例,多发伤43例,多部位伤100例,胸腹联合伤1例,单部位伤450例。开放伤44例,闭合伤554例。开放伤合并感染10例(22.7%),气性坏疽1例(2.3%)。手术治疗157例,择期手术116例;非手术325例。急性高原病100例,其中急性高原反应67例,急性肺水肿31例,脑水肿2例。其他疾病28例。726例地震伤病员中无死亡病例。结论进一步规范伤病的诊断、创伤评分(AIS-ISS)及临床资料的完整性,强调分级救治、早期专科治疗和多学科协作救治,能显著提高危重症伤员救治成功率,有效降低伤残率。执行特殊环境下的工作任务,必须要有特殊的保障措施。
Objective To retrospectively analyze the management and experience of earthquake patients in military hospitals following Yushu earthquake in Qinghai province.Methods Data on 726 earthquake patients admitted into military hospitals from Apr.15 to Apr.24 were analyzed.Results Among 726 earthquake victims,there were 598 cases of earthquake injury,including combined injury 4 cases,multiple trauma 43 cases,single-part trauma 450 cases,multi-parts trauma 100 cases,thoracic-abdominal injury 1 case.There were 44 cases of open wound and 554 cases of closed injury.Infection was observed in 10 cases of open wound(22.7%).There was 1 case of gas gangrene(2.3%).A total of 157 cases underwent surgical treatment,116 cases received elective surgery,325 cases underwent non-surgical treatment.Totally 100 victims got acute plateau sickness,including acute plateau response 67 cases,acute pulmonary edema 31 cases,cerebral edema 2 cases,and 28 victims of other diseases.There was no death in all 726 victims.Conclusion For serious earthquake patients,it should emphasize grading treatment.Specific treatment at early stage and multi-disciplinary approach can notably improve cure rate and reduce disability rate.Furthermore,we need to standardize the diagnosis and treatment of trauma,AIS-ISS and keep integrity of clinical data.Executing the tasks under special environment must have special security measures.
Objective To retrospectively analyze the management and experience of earthquake patients in military hospitals following Yushu earthquake in Qinghai province.Methods Data on 726 earthquake patients admitted into military hospitals from Apr.15 to Apr.24 were analyzed.Results Among 726 earthquake victims,there were 598 cases of earthquake injury,including combined injury 4 cases,multiple trauma 43 cases,single-part trauma 450 cases,multi-parts trauma 100 cases,thoracic-abdominal injury 1 case.There were 44 cases of open wound and 554 cases of closed injury.Infection was observed in 10 cases of open wound(22.7%).There was 1 case of gas gangrene(2.3%).A total of 157 cases underwent surgical treatment,116 cases received elective surgery,325 cases underwent non-surgical treatment.Totally 100 victims got acute plateau sickness,including acute plateau response 67 cases,acute pulmonary edema 31 cases,cerebral edema 2 cases,and 28 victims of other diseases.There was no death in all 726 victims.Conclusion For serious earthquake patients,it should emphasize grading treatment.Specific treatment at early stage and multi-disciplinary approach can notably improve cure rate and reduce disability rate.Furthermore,we need to standardize the diagnosis and treatment of trauma,AIS-ISS and keep integrity of clinical data.Executing the tasks under special environment must have special security measures.
引文
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[2]张年春,初同伟,张峡,等.汶川地震后送伤员并发相关感染的诊治体会[J].重庆医学,2009,38(9):1083-1085.
[3]王跃,郝鹏,吕波,等.5.12汶川大地震后早期骨科伤员伤情分析[J].实用医院临床杂志,2009,6(1):17-19.
[4]黄文霞,谭永琼,张祥蓉,等.汶川地震应急期伤员手术类型分析及管理经验[J].护理学报,2009,16(12B):13-15.
[5]李效全,刘佳易,李自会,等.“5.12”汶川地震伤员截肢时机对预后的影响[J].实用医院临床杂志,2009,6(4):85-86.
[6]中国人民解放军总后勤部卫生部.战伤救治规则(2006年版)[S].2006.6.
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