四川汶川地震92例后送颅脑伤患者伤情分析
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摘要
目的:调查分析四川汶川地震后送颅脑损伤患者的伤情特点。方法:对地震发生后近20 d内后送至成都军区总医院神经外科住院治疗的92名地震伤员的伤情、致伤原因、后送至医院时间、脱险后得到医疗救治情况以及治疗结果进行分析总结。结果:后送伤员中,轻型和中型颅脑损伤78例(84.78%),重型颅脑损伤14例(15.22%);合并伤中,合并骨折49例(53.26%),合并挤压综合征21例(22.83%)。截至6月12日,已出院78例(84.78%),按GOS标准评定,良好72例(78.26%),中残5例(5.43%),重残1例(1.09%);仍有11例在院治疗,死亡3例。结论:此次汶川地震后送颅脑伤员存在伤程长、院前基础医疗救治差、重型颅脑伤比例低、合并挤压综合征和四肢骨折多等典型强地震灾害伤情特点。
Objective: Investigation was conducted on injury feature of the evacuated brain trauma patients in wenchuan earthquake.Methods: 92 hospitalized patients within 20 post-earthquake days were investigated with emphasis on injury severity,cause,pre-hospital time and treatment given,and the outcome at neurosurgery department in General Hospital of Chengdu Military District.Results: Among the 92 patients,78 cases were with mild or moderate brain injury and 14 cases with severe intracranial trauma;and 49 cases combined with bone fracture and 21 cases with crushing syndrome.78 patients have been discharged by June 12,(72 patients were good recovery,5 moderately disabled and 1 severely deficient).11 patients were still in hospital for further treatment.3 patients died in hospital.Conclusion: long pre-hospital time and poor basic medical treatment given,low ratio of severe craniocerebral injury and high percentage of combined crush syndrome and limb fracture are still the very characteristics evacuated brain trauma victims.
Objective: Investigation was conducted on injury feature of the evacuated brain trauma patients in wenchuan earthquake.Methods: 92 hospitalized patients within 20 post-earthquake days were investigated with emphasis on injury severity,cause,pre-hospital time and treatment given,and the outcome at neurosurgery department in General Hospital of Chengdu Military District.Results: Among the 92 patients,78 cases were with mild or moderate brain injury and 14 cases with severe intracranial trauma;and 49 cases combined with bone fracture and 21 cases with crushing syndrome.78 patients have been discharged by June 12,(72 patients were good recovery,5 moderately disabled and 1 severely deficient).11 patients were still in hospital for further treatment.3 patients died in hospital.Conclusion: long pre-hospital time and poor basic medical treatment given,low ratio of severe craniocerebral injury and high percentage of combined crush syndrome and limb fracture are still the very characteristics evacuated brain trauma victims.
引文
[1]徐佩卿.地震伤亡分析[J].中华医院管理,1994,10(5):311.
[2]陈君松.阪神大地震的教训[J].国外医学医院管理分册,1997,15(14):38.
[3]Emami MJ,Tavakoli AR,Alemzadeh H,et al.Strategies in eval-uation and management of Bam earthquake victims[J].PrehospDisaster Med,2005,20(5):327-330.
[4]Rathore MF,Rashid P,Butt AW,et al.Epidemiology of spinalcord injuries in the 2005 Pakistan earthquake[J].Spinal Cord,2007,45(10):658-663.
[2]陈君松.阪神大地震的教训[J].国外医学医院管理分册,1997,15(14):38.
[3]Emami MJ,Tavakoli AR,Alemzadeh H,et al.Strategies in eval-uation and management of Bam earthquake victims[J].PrehospDisaster Med,2005,20(5):327-330.
[4]Rathore MF,Rashid P,Butt AW,et al.Epidemiology of spinalcord injuries in the 2005 Pakistan earthquake[J].Spinal Cord,2007,45(10):658-663.
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