地震后送伤员的临床特点及救治对策
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摘要
目的总结分析汶川地震后送伤员的伤情特点和救治情况,探讨后方医院的医疗配置和伤员救治方法。方法回顾性分析2008年5月14日~2008年6月13日我院抗震救灾病房收治的100例汶川地震伤员,总结分析其伤情特点和院内救治情况。结果100例伤员中主要以四肢骨折、软组织伤为多见,占78.0%,伤员中合并伤口、创面感染的病例占33.0%。全部伤员中有56例进行了86次手术,占56.0%,手术以软组织清创、修复手术以及四肢骨折固定为主,占全部手术的91.5%。治愈92例,好转8例,全部伤口、创面均愈合。结论地震灾区后送伤员的治疗以骨折固定、软组织伤清创修复、感染创面处理及康复理疗、功能锻炼为主,医疗配置应以创伤科、骨科、康复科为主。后方医院良好有效的治疗措施可以提高伤员的治愈率,降低伤员的死亡率、伤残率。
Objective To summarize the characteristics of trauma condition of injured people in Wenchuan earthquake and discuss the allocation of medical resources and method of medical rescue.Methods A total of 100 patients injured in Wenchuan earthquake were treated in our hospital from May 14,2008 to Sep.12,2008.Their traumatic condition and in-hospital treatment were retrospectively analyzed.Results Bone fracture and soft tissue injury in limbs accounted for 78.0%,and 33.0% of patients had wound infection.Totally,there were 56 patients receiving 86 operations,accounting for 56.0%.And 91.5% of those operations aimed to debride soft tissue,repair and fix the fractured bone.Ninety-two cases recovered and 8 cases relieved.All the trauma and wound surface healed.Conclusion Fixation of fracture,debridement and repair of soft tissue,management of infected wound,rehabilitation and functional exercise are used in the treatment of earthquake injury.Departments of trauma,orthopaedics and rehabilitation are allocated to take the main responsibility.The quick,efficient medical treatment in rear hospitals can significantly increase the recovery rate and decrease the mortality and disability.
Objective To summarize the characteristics of trauma condition of injured people in Wenchuan earthquake and discuss the allocation of medical resources and method of medical rescue.Methods A total of 100 patients injured in Wenchuan earthquake were treated in our hospital from May 14,2008 to Sep.12,2008.Their traumatic condition and in-hospital treatment were retrospectively analyzed.Results Bone fracture and soft tissue injury in limbs accounted for 78.0%,and 33.0% of patients had wound infection.Totally,there were 56 patients receiving 86 operations,accounting for 56.0%.And 91.5% of those operations aimed to debride soft tissue,repair and fix the fractured bone.Ninety-two cases recovered and 8 cases relieved.All the trauma and wound surface healed.Conclusion Fixation of fracture,debridement and repair of soft tissue,management of infected wound,rehabilitation and functional exercise are used in the treatment of earthquake injury.Departments of trauma,orthopaedics and rehabilitation are allocated to take the main responsibility.The quick,efficient medical treatment in rear hospitals can significantly increase the recovery rate and decrease the mortality and disability.
引文
[1]王正国.地震灾害的特点及其所致创伤的救治[J].中华创伤杂志,2008,24(6):401-403.
[2]武昆秀.破坏性地震医疗救护应急预案制定要点[J].中华医院管理杂志,2002,12(12):722.
[3]杨策,钟河江,蒋电明,等.533例汶川地震伤员感染流行病学分析与思考[J].中华创伤杂志,2008,24(8):587-590.
[4]赵辉,赖西南,陈菁,等.医用超声波冲洗治疗仪的研制[J].医疗卫生装备,2004,9:20-21.
[5]Mullner T,Mrkonjic L,Kwasny O,et al.The use of negativepressure to promote the healing of tissue defects:a clinicaltrial using the vacuum sealing technique[J].Br J PlastSurg,1997,50(3):194-199.
[2]武昆秀.破坏性地震医疗救护应急预案制定要点[J].中华医院管理杂志,2002,12(12):722.
[3]杨策,钟河江,蒋电明,等.533例汶川地震伤员感染流行病学分析与思考[J].中华创伤杂志,2008,24(8):587-590.
[4]赵辉,赖西南,陈菁,等.医用超声波冲洗治疗仪的研制[J].医疗卫生装备,2004,9:20-21.
[5]Mullner T,Mrkonjic L,Kwasny O,et al.The use of negativepressure to promote the healing of tissue defects:a clinicaltrial using the vacuum sealing technique[J].Br J PlastSurg,1997,50(3):194-199.
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