“5.12”四川汶川特大地震灾害绵阳医疗卫生救援应急机制
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摘要
卫生部首批医疗卫生救援队于汶川大地震发生后28小时即抵达绵阳灾区是第一支达到重灾地区的外省医疗救援队。考察了安县和北川两地的灾情后,决定在绵阳市建立医疗队总部,以协调各有关医疗机构的工作,并迅速建立特大地震灾害医疗卫生救援应急体制。确定了健康风险。医院的手术室得到恢复,以开展治疗颅脑外伤、四肢多发性骨折、严重胸部损伤、多脏器损伤、严重挤压伤等的大手术。确定了灾民良好身心健康和大灾后无大疫的目标。生命质量、生活质量、工作生活质量受到重视。进行了3次检伤分类,从而保障了治疗质量、生命安全、以及有效的配置医疗资源和管理。部分伤病员通过各种交通工具被转移到国内其他。由于及时采取了有力的措施,破伤风和气性坏疽得到控制。
Twenty-eight hours after the Wenchuan earthquake, the first disaster medical assistant team organized by the Ministry of Health arrived at the disastrous area of Mianyang, as the first medical assistant team from outside Provinces that reached the most severe disaster area. After visiting Beichuan and Anxian counties, it was decided that an emergency medical rescue command center be set up in Mianyang to coordinate the work of different relevant medical institutions, and an emergency medical assistance system was rapidly established. The health risks were identified. Operating rooms in hospitals were recovered to perform the major operations on cranial trauma, multiple fractures of extremities, sever thoracic inquiry, multiple organ injuries, severe crush injuries, etc. The objectives of good somatic and mental health of the disaster victims and no epidemic after the disaster were set. Attention was paid to the quality of life, quality of well being, and quality of work-life should be raised. Identification and classification of trauma was conducted 3 times, thus guaranteeing the quality of treatment, life safety, and effective allocation of medical resources, and management. Part of the sick and wounded was transferred to other cities in China via different vehicles. Due to timely and strong measures tetanus and gas gangrene were controlled.
引文
[1]高星.北京公共卫生应急体制和能力建设研究.中国急救复苏与灾害医学杂志,2007,2(8):457.
    [2]李宗浩.创建发展中国救援医学事业.中国急救复苏与灾害医学杂志,2007,2(1):1-2.
    [3]赵伟.灾害救援现场的检伤分类方法—述评院外定性与定量法.中国急救复苏与灾害医学杂志,2007,2(5):291-294.
    [4]曹力,侯世科,刘庆,等.保证医学救援队职业安全的重要性和基本内容.中国急救复苏与灾害医学杂志,2007,3(2):104-105.

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