异地远途列车转运汶川地震伤员438例回顾分析
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摘要
目的:探讨异地远途列车转运伤员的组织形式、方法、特点、途中观察救治处理形式,优化转运并提高转运安全性。方法:回顾性分析三批次列车转运"5.12"汶川地震伤员438例的组织形式、方法、途中处理与安全性的关系,总结经验与不足。结果:437例安全地转运至目的地医院,安全转运率99.8%(437/438)。1例骨盆骨折患者,既往有风湿性心脏病病史,突发卒死而死亡。途中处理:伤口疼痛38例,占6.7%;发热43例,占9.8%;留置导尿4例,占0.91%;血压下降2例,占0.46%,经输入盐水扩容治疗后纠正。1例高颅压综合征占0.23%。结论:大批量伤员远程列车转运通过周密组织、计划、观察、护理完全能够实现安全转运,也是解决大批量伤员救治容量、能力、条件不足的良好而有效方法。
Objective: To discuss the organization, methods, peculiarity and modalities of caring and curing on the way of allopatry transportation by train, and how to optimize the transfer and to improve security of the wounded. Methods: The relationships of the security, organization, methods, peculiarity and treatment of the 438 wounded persons in the Wenchuan earthquake on the transportation way by train within three groups were retrospectively analyzed, and the experiences and shortages were summarized. Results: 437 cases of the wounded patients have been safely transferred to destination hospital; the rate of safe transfer was 99.8% (437/438). The only case with pelvis fracture dead on the way was the one who had been suffered from rheumatic heart disease for years. The treatment on the transferring way included 38 cases of the wounded persons with eased pain (6.7%), 43 cases with fever (9.8%), four cases with urethral catheterization, two cases with hypotension (0.46%), one case with hyper-skull-tension symptom. Conclusions: Large number of wounded persons could be transferred safely by trains, provided the transfer is well organized and planed and the patients are carefully observed and nursed. It was the effective way to solve the problem of deficiency in medical care capability and condition at disaster site.
Objective: To discuss the organization, methods, peculiarity and modalities of caring and curing on the way of allopatry transportation by train, and how to optimize the transfer and to improve security of the wounded. Methods: The relationships of the security, organization, methods, peculiarity and treatment of the 438 wounded persons in the Wenchuan earthquake on the transportation way by train within three groups were retrospectively analyzed, and the experiences and shortages were summarized. Results: 437 cases of the wounded patients have been safely transferred to destination hospital; the rate of safe transfer was 99.8% (437/438). The only case with pelvis fracture dead on the way was the one who had been suffered from rheumatic heart disease for years. The treatment on the transferring way included 38 cases of the wounded persons with eased pain (6.7%), 43 cases with fever (9.8%), four cases with urethral catheterization, two cases with hypotension (0.46%), one case with hyper-skull-tension symptom. Conclusions: Large number of wounded persons could be transferred safely by trains, provided the transfer is well organized and planed and the patients are carefully observed and nursed. It was the effective way to solve the problem of deficiency in medical care capability and condition at disaster site.
引文
[1]Su Lei,Liu Yun-song,Qin Wei-yi.Landed long range transportation of dangerous patients[J].Journal of Emergency Medicine of China,2005,14(4):346-347(In Chinese)
[2]Liang Guo-hua,Wang Jian-qiang.Investigate of recognition of patrol diagnosis of armed forces hospital medical corps in basement[J].Journal of Arms Police Medicine,1997,1(8):184-185(In Chinese)
[3]Guo Jian-lin.Allopatry transportation of dangerous patients[J].Journal of He Bei Medicine,1998,20(4):252-253(In Chinese)
[4]Tang Chun-fu,Zhang Jun-gen.Application of mobile breathing ma-chine for dangerous patients in allopatry transportation[J].Emergency Medicine,2006,9(12):1004-1005(In Chinese)
[2]Liang Guo-hua,Wang Jian-qiang.Investigate of recognition of patrol diagnosis of armed forces hospital medical corps in basement[J].Journal of Arms Police Medicine,1997,1(8):184-185(In Chinese)
[3]Guo Jian-lin.Allopatry transportation of dangerous patients[J].Journal of He Bei Medicine,1998,20(4):252-253(In Chinese)
[4]Tang Chun-fu,Zhang Jun-gen.Application of mobile breathing ma-chine for dangerous patients in allopatry transportation[J].Emergency Medicine,2006,9(12):1004-1005(In Chinese)
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