1268例汶川地震住院伤病员疾病谱分析
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摘要
目的分析该院收治1268例地震伤病员疾病的临床分布特点,为今后地震灾害的医学救援提供参考。方法整理该院救治1268例地震伤病员的临床资料,对伤病员一般情况及具体伤情进行分析。结果1268例患者中,男667例(52.6%),女601例(47.4%);60岁以上和20岁以下伤病员462例(36.4%);震后前3天入院803例(63.3%);外伤/伤口类患者1229例(96.92%),涉及骨科治疗929例(73.27%);按ISS评分,外伤/伤口类患者中,重度以上损伤568例(46.22%),并发休克25例(2.03%),发生筋膜间隙综合征25例(2.03%),挤压综合征并急性肾功能衰竭8例(0.63%),气性坏疽1例(0.08%),死亡10例(0.81%)。结论此次地震伤病员的数量大,送达时间集中,损伤程度重,重伤及复合伤患者多,绝大部分患者涉及骨科处理。
【Objectives】To analyze the clinical distribution of 1 268 cases hospitalized sick or wounded in the earthquake,and provide medical information for the earthquake disaster relief in the future. 【Methods】We reviewed the clinical data of 1 268 cases remedied by our hospital after the earthquake,and analyzed the general con-ditions and traumatic conditions of them.【Results】Among all of the 1 268 cases,667 cases (52.6%) were male and 601 cases (47.4%) were female,462 cases (36.4%) were over 60 years old or under the age of 20; 803 cases (63.3%) were admitted among the first 3 days after the earthquake; 1229 cases (96.92%) belonged to Trauma/wound category; 929 cases (73.27%) were involved in orthopaedic treatment. Among the 1 229 Trauma/wound cases,according to ISS score,568 cases (46.22%) were injured seriously,25 cases (2.03%) were complicated with shock,25 cases (2.03%) were complicated with compartment syndrome,8 cases (0.63%) were complicated with compression syndrome and acute renal failure,1 case(0.08%) was complicated with clostridial myonecrosis,10 cases (0.81%) were died in hospital.【Conclusion】The number of patients after Wenchuan earthquake was large,and these patients mainly admitted among the first 3 days,injured seriously,many of them were macrotrauma or multitrauma,almost all of them were involved in orthopedic treatment.
【Objectives】To analyze the clinical distribution of 1 268 cases hospitalized sick or wounded in the earthquake,and provide medical information for the earthquake disaster relief in the future. 【Methods】We reviewed the clinical data of 1 268 cases remedied by our hospital after the earthquake,and analyzed the general con-ditions and traumatic conditions of them.【Results】Among all of the 1 268 cases,667 cases (52.6%) were male and 601 cases (47.4%) were female,462 cases (36.4%) were over 60 years old or under the age of 20; 803 cases (63.3%) were admitted among the first 3 days after the earthquake; 1229 cases (96.92%) belonged to Trauma/wound category; 929 cases (73.27%) were involved in orthopaedic treatment. Among the 1 229 Trauma/wound cases,according to ISS score,568 cases (46.22%) were injured seriously,25 cases (2.03%) were complicated with shock,25 cases (2.03%) were complicated with compartment syndrome,8 cases (0.63%) were complicated with compression syndrome and acute renal failure,1 case(0.08%) was complicated with clostridial myonecrosis,10 cases (0.81%) were died in hospital.【Conclusion】The number of patients after Wenchuan earthquake was large,and these patients mainly admitted among the first 3 days,injured seriously,many of them were macrotrauma or multitrauma,almost all of them were involved in orthopedic treatment.
引文
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[7]彭碧波,仝青英,杨造成.印尼日惹地震救援中流动医院疾病谱分析[J].武警医学,2006,17(10):785-786.[7]PENG BB,TONG QY,YANG ZC.The disease spectrum analysis of the mobile hospital among the rescue after Indonesia Yo-gyakarta earthquake[J].Medical Journal of the Chinese People's Armed Police Force,2006,17(10):785-786.Chinese
[8]权毅,潘显明,邓冰,等.1070例地震伤救治情况报告[J].中华创伤骨科杂志,2008,10(6):510-512.[8]QUAN Y,PAN XM,DENG B,et al.Preliminary report of man-agement of1070earthquake trauma patients[J].Chin J Traumatic Orthopedics,2008,10(6):510-512.Chinese
[9]权毅,潘显明,邓少林,等.地震闭合性软组织挤压伤伤情特点及救治体会[J].实用医院临床杂志,2009,6(1):9-10.[9]QUAN Y,PAN XM,DENG SL,et al.Injury characteristics and treatment of closed soft tissue crush in jury in earthquake[J].Practical Hospitals Clinical Journal,2009,6(1):9-10.Chinese
[2]赵兴吉,都定元,孔令文,等.AIS2005与AIS1998在评价创伤救治结局中的应用比较[J].创伤外科杂志,2006,8(3):198-201.[2]ZHAO XJ,DU DY,KONG LW,et al.Comparative study be-tween AIS1998and AIS2005for evaluation of injury severity and major trauma outcome[J].Journal of Traumatic Surgery,2006,8(3):198-201.Chinese
[3]柴克生,张鸿祺.灾难中大量伤员的处理[J].中华急诊医学杂志,2003,12(8):510-511.[3]CHAI KS,ZHANG HQ.Treatment of a large of injuries in the disaster[J].Chin J Emerg Med,2003,12(8):510-511.Chinese
[4]刘爱兵,王海燕,郝钦芳,等.从疾病谱变化规律划分灾难医学救援阶段极其意义[J].中华急诊医学杂志,2006,15(12):1063-1066.[4]LIU AB,WANG HY,HAO QF,et al.Stages of medical rescue after disaster based on clinical features and their significance[J].Chin J Emerg Med,2006,15(12):1063-1066.Chinese
[5]徐佩卿.地震伤亡分析[J].中华医院管理杂志,1994,10(5):311.[5]QU PQ.Analyze the injuries and deaths by earthquake[J].Chin J Hospital Administration,1994,10(5):311.Chinese
[6]张英泽,邵新中,孔志刚,等.张北县地震伤情调查与分析[J].河北医科大学学报,1998,19(3):141-142.[6]ZHANG YZ,SHAO XZ,KONG ZG,et al.Investigation and analysis on Zhangbei County's earthquake trauma[J].Journal of Hebei Medical University,1998,19(3):141-142.Chinese
[7]彭碧波,仝青英,杨造成.印尼日惹地震救援中流动医院疾病谱分析[J].武警医学,2006,17(10):785-786.[7]PENG BB,TONG QY,YANG ZC.The disease spectrum analysis of the mobile hospital among the rescue after Indonesia Yo-gyakarta earthquake[J].Medical Journal of the Chinese People's Armed Police Force,2006,17(10):785-786.Chinese
[8]权毅,潘显明,邓冰,等.1070例地震伤救治情况报告[J].中华创伤骨科杂志,2008,10(6):510-512.[8]QUAN Y,PAN XM,DENG B,et al.Preliminary report of man-agement of1070earthquake trauma patients[J].Chin J Traumatic Orthopedics,2008,10(6):510-512.Chinese
[9]权毅,潘显明,邓少林,等.地震闭合性软组织挤压伤伤情特点及救治体会[J].实用医院临床杂志,2009,6(1):9-10.[9]QUAN Y,PAN XM,DENG SL,et al.Injury characteristics and treatment of closed soft tissue crush in jury in earthquake[J].Practical Hospitals Clinical Journal,2009,6(1):9-10.Chinese
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