5.12汶川大地震1874例伤员伤情分析

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英文篇名：Analysis of wound features in 1874 Wenchuan earthquake-hit victims 中文刊名：实用医院临床杂志 英文刊名：Practical Journal of Clinical Medicine 作者：刘洲 ; 王晋川 ; 辜玉刚 ; 张雅 ; 熊建 英文作者：LIU Zhou ; WANG Jin-chuan GU Yu-gang ; et al.(Medical Department of Sichuan Provincial People's Hospital ; Chengdu 610072 ; China) 中文关键词：汶川大地震 ; 伤员 ; 早期治疗 英文关键词：Wenchuan earthquake ; The wounded ; Early treatment 出版日期：2008-11-01 机构：四川省人民医院医务处; 年：2008 期：06 出版单位：实用医院临床杂志

摘要

目的探讨地震伤员早期的院内应急方案和措施。方法对我院早期收入住院的1874例5.12汶川特大地震伤员的伤情构成、危重症伤员伤情特点进行分析。结果伤员入院时间集中在震后1周内(69.3%),入院诊断的前3位损伤是浅表组织伤、骨折、脑外伤,其中,挤压综合征死亡率最高。重症伤员以颅脑外伤为主。地震伤伴发基础疾病中以合并肺部疾病死亡率最高。结论加强震后前三周的医疗救援力度,加强伤员并发症的防范和治疗,重视基础疾病治疗,可有效减少伤员的伤残和死亡。
Objective To discuss the strategy and measures of early medical aid in hospital for earthquake-hit victims.Methods The traumatic condition,types and features of 1874 victims following Wenchuan earthquake were analysed.Results The time for hospitalization was mainly within one week after earthquake(69.3%).The top three injuries were superficial tissue wounds,fractures and brain trauma.Crush syndrome had the highest death rate among these injuries.Most severe cases were inflicted by brain injury.Among the earthquake-hit victims who had primary disease,pulmonary diseases constituted the highest death rate.Conclusion Timely medical rescue in the first three weeks after earthquake,active prevention and therapy for complications and primary diseases are essential to reduce the disability and death rates.

引文

[1]董惠娟,顾建华.印度洋地震海啸中国大陆受灾者心理状况调查与分析[J].中国综合临床,2007,23(2):147-149.
    [2]吴寿岭,陈伟.唐山红十字医疗救护队赴四川汶川地震灾区紧急医疗救援的体会[J].中国急救复苏与灾害医学杂志,2008,6(1):16-18.
    [3]岳茂兴,刘志国.灾害事故现场医学应急救援的主要特点及救护原则[J].中国全科医学,2004,18(1):24-26.