矫形器在地震后骨科伤员中的应用分析
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摘要
目的:总结汶川地震中骨科伤员使用矫形器的救治经验,为大规模突发灾难事件应用矫形器救治康复提供参考。方法:对本科自2008年5月收治的60例汶川地震转运的骨科伤员术前术后配戴不同部位的矫形器,进行康复训练,然后对矫形器的康复效果进行分析。结果:我院共救治骨科病人60例,骨折伤员57例,神经损伤3例;有25例伤员行手术治疗;3例截肢伤员因残端感染严重而行多次残端清创、修整。除截肢伤员外,其余所有伤员均配戴矫形器进行康复训练。所有配戴矫形器的伤员未出现并发症,经过三个月的康复治疗,全部伤员康复出院。结论:汶川地震转运骨科伤员的术前术后配戴矫形器,能积极防治相关并发症,具有促进伤员早日康复的作用,对今后灾难救援具有指导意义。
Objective: To summarize the experiences of Orthoses in treatment of Injured Victims of earthquake to provide reference for future application of orthoses in Catastrophic events. Method: 60 earthquake patients from disaster area admitted to our hospital since May 12th 2008 wore the orthoses before or after operation, with most of them wearing ready made orthoses. After much rehabilitation training, their recovery results were analyzed. Result: There are totally 60 patients admitted to our department. Among them, 57 cases are bone fractures,3 cases are Nerve injuries, 15 cases received operations, 3 amputation cases had multiple stump debridement and trimming due to severe infection. Except the 3 amputation patients, all the others did rehabilitation training with our orthoses. After 3 months of training, they all recovered without complications and left hospital.Conclusion: Wearing orthoses before or after operation for patients from Wenchuan can prevent complications and have positive effects in their recovery, which has instructive significance for future rescue.
Objective: To summarize the experiences of Orthoses in treatment of Injured Victims of earthquake to provide reference for future application of orthoses in Catastrophic events. Method: 60 earthquake patients from disaster area admitted to our hospital since May 12th 2008 wore the orthoses before or after operation, with most of them wearing ready made orthoses. After much rehabilitation training, their recovery results were analyzed. Result: There are totally 60 patients admitted to our department. Among them, 57 cases are bone fractures,3 cases are Nerve injuries, 15 cases received operations, 3 amputation cases had multiple stump debridement and trimming due to severe infection. Except the 3 amputation patients, all the others did rehabilitation training with our orthoses. After 3 months of training, they all recovered without complications and left hospital.Conclusion: Wearing orthoses before or after operation for patients from Wenchuan can prevent complications and have positive effects in their recovery, which has instructive significance for future rescue.
引文
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[5]Bulut M,Fedakar R,Akkose S,et al.Medical experience of a university hospital in Turkey after t he1999Marmara earthquake[J].Emerg Med J,2005Jul,22(7):494-498
[6]唐甫斌,浦金辉,张璧,等.地震伤员的处理原则[J].创伤外科杂志,2007,9:210TANG Fu-bin,PU Jin-hui,ZHANG Bi,et al.Treatment of injury in earthquake[J].J Trauma Surg.2007,9:210
[7]Sarisozen B,Durak K.Extremity injuries in children resulting from the1999Marmara earthquake:an ep idemiologic study[J].J Pediatr Or-thop B,2003,4:288-291
[8]SH Bhatti,I Ahmed,NA Qureshi,et al.Head traumadue to earthquake October,2005experience of300cases at the combined military hos-pital rawalpindi[J].Journal of The College of Physicians and Sur-geons Pakistan,2008,1:22-26
[9]Kuwagata Y,Oda J,Tanaka H,et al.Analysis of2,702traumatized patients in the1995Hanshin-Awaji earthquake[J].J Trauma,1997,3:427-432
[2]汪红,江伟,刘跃洪,等.汶川地震骨科病人的救治分析[J].西部医学,2009,21(8):1284-1286Wang Hong,Jiang Wei,Liu Yue-hong,et al.To analyze the means for the early treatment to the orthopedic casessuffering from distress area of wenchuan[J].Med J West China,2009,21(8):1284-1286
[3]朱锦宇,郭征,王臻,等.四川汶川大地震骨科伤员的早期救治[J].中国矫形外科杂志,2009,17(16):1224-1226Zhu Jin-yu,Guo Zheng,Wang Zhen,et al.Experience of early ortho-pedic management to victims in the2008S ichuan earthquake[J].Orthoped ic Journal of China,2009,17(16):1224-1226
[4]Sechriest VF2nd,Lhowe DW.Orthopaedic care aboard the USNS Mercy during operation unified assistance after the2004Asian Tsunami.A case series[J].J Bone Joint Surg(Am),2008,90:849-861
[5]Bulut M,Fedakar R,Akkose S,et al.Medical experience of a university hospital in Turkey after t he1999Marmara earthquake[J].Emerg Med J,2005Jul,22(7):494-498
[6]唐甫斌,浦金辉,张璧,等.地震伤员的处理原则[J].创伤外科杂志,2007,9:210TANG Fu-bin,PU Jin-hui,ZHANG Bi,et al.Treatment of injury in earthquake[J].J Trauma Surg.2007,9:210
[7]Sarisozen B,Durak K.Extremity injuries in children resulting from the1999Marmara earthquake:an ep idemiologic study[J].J Pediatr Or-thop B,2003,4:288-291
[8]SH Bhatti,I Ahmed,NA Qureshi,et al.Head traumadue to earthquake October,2005experience of300cases at the combined military hos-pital rawalpindi[J].Journal of The College of Physicians and Sur-geons Pakistan,2008,1:22-26
[9]Kuwagata Y,Oda J,Tanaka H,et al.Analysis of2,702traumatized patients in the1995Hanshin-Awaji earthquake[J].J Trauma,1997,3:427-432
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