汶川地震后方医院救治的患者病情特点及治疗对策

英文篇名：Characteristics of Wenchuan earthquake casualties in rear hospital and treatments
中文刊名：中国医药导报
英文刊名：China Medical Herald
作者：吴梅祥 ; 钱东阳 ; 白波 ; 吴景明 ; 刘琦 ; 余楠生
英文作者：WU Meixiang ; QIAN Dongyang ; BAI Bo ; WU Jingming ; LIU Qi ; YU Nansheng (Department of Surgery ; the First Affiliated Hospital of Guangzhou Medical College ; Guangzhou 510120 ; China)
中文关键词：地震 ; 治疗 ; 损害控制
英文关键词：Earthquake ; Treatment ; Damage control strategy
出版日期：2009-06-05
机构：广州医学院第一附属医院骨外科;
年：2009
期：16
出版单位：中国医药导报

摘要

目的:探讨地震后送伤员病情特点及在后方医院救治经验。方法:对陆续收治的20例骨科地震伤员的病情特点和救治工作进行回顾性分析,其中,对1例严重的骨盆骨折复合伤和2例脊柱骨折复合伤患者采用损害控制外科技术治疗。结果:后送伤员病情复杂,漏诊率较高;经多科室通力合作、积极救治和采用损害控制外科手术,所有伤员恢复满意,无严重并发症发生,骨折患者解剖复位和功能复位达97%。结论:通过多科室密切合作、个性化治疗方案和护理方法的实施、骨科损害控制理念的运用以及加强心理干预和鼓励早期功能锻炼,可以减少并发症的发生率。
Objective:To discuss treatment experiences and the characteristics of Wenchuan earthquake casualties transferred to rear hospital. Methods: A retrospective study was conducted on the 20 casualties transferred to the First Affiliated Hospital of Guangzhou Medical College for further treatment. The damage control strategy was practiced in 1 case of complicated pelvic fracture and 2 cases of spine fractures. Results: All the 20 cases were cured and no severe complication was occurred by active treatment. The rate of anatomic reduction and functional reduction was add up to 97%. Conclusion: Fine and efficient treatment with the close cooperation of multi-department can increase the curing rate and reduce the death and disability rates.

引文

[1]美国机动车医学促进会.简明损伤定级标准(2005)[M].重庆市急救医疗中心,译.重庆:重庆出版社,2005:1-35.
    [2]薛富波,王玉琨,徐勇勇.创伤国际疾病分类编码向简明损伤定级分值转换规则的研究[J].中华创伤杂志,2003,19:385-388.
    [3]孙志刚,李宏立.地震伤员分类的方法和原则[J].灾害学,2001,16:61-64.
    [4]Rotondo MF,Schwab CW,Mc Gonigal MD,et al.Damage control:an approach for improved survival in exsanguinating penetrating abdominal injury[J].J Trauma,1993,35(3):375-382.
    [5]王爱民,孙红振,杜全印,等.骨关节型严重多发伤的损害控制治疗[J].中华创伤杂志,2007,23(2):143-146.
    [6]李西成,潘进社,张伯锋,等.损害控制性手术在汶川地震多发伤急救中的应用[J].中华创伤骨科杂志,2008,10(6):535-536.
    [7]周贤杰,罗从风.地震伤骨盆骨折的损害控制处理[J].中华创伤骨科杂志,2008,10(6):551-554.
    [8]金惠铭.病理生理学[M].北京:人民卫生出版社,2001:248-250.