广西医科大学第一附属医院91例汶川地震转运伤员救治分析
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摘要
目的回顾性分析广西医科大学第一附属医院救治汶川地震转运伤员总体情况,为今后完善和健全地震灾害应急预案机制和建立国家级区域性医疗中心提供决策参考。方法从我院信息处、病案室、骨科及其它相关临床科室系统收集震后所有收治汶川地震转运伤员的相关资料,分析伤员基本情况和医院总体救治情况。资料录入采用EXCEL,统计分析采用SPSS13.0软件。结果2008年5月22～26日,我院共收治91例汶川地震转运伤员,除1例来自成都,其余90例均来自绵阳(北川46.67%)。其中男44例,中位年龄38(27,53)岁;女47例,中位年龄51(33,62)岁,女性伤员年龄明显大于男性伤员(P<0.01)。伤员集中在震后第10～11天转运到我院,其中震后第10天占86.8%,震后第11天占22.0%;震后第34天为出院高峰,占总出院人数的37.1%(33例)。伤情分类以骨外伤为主,按受伤部位分,占前3位的是下肢骨折(34.81%)、椎体骨折(19.26%)和骨盆骨折(12.59%)。救治过程中共死亡2例,其中1例死于全身大面积石灰烧伤(60%),1例死于严重多发伤。结论有针对性地加强应急状态下对人员及物质的合理调配,及对地震伤员及时进行心理状况测评和积极的心理干预,是提高今后地震医疗救援整体水平的重要措施。
Objective To analyze retrospectively the overall situation of medical rescue in the First A liated Hospital of Guangxi Medical University after the Wenchuan earthquake, so as to provide references for the emergency preparation for the disaster of earthquake. Methods Analysis was based on the data provided by the Department of Information, the Medical Record Library, the Department of Emergency, the Department of Orthopaedics and other related departments of the hospital. The software Microsoft EXCEL was used for data management, and SPSS 13.0 was used for statistical analysis. Results From May 22 to May 26, 91 cases from the disaster area had been treated in the hospital, of which 90 were from Mianyang and 1 from Chengdu. These patients included 44 males with a median age of 38 (27, 53) years old and 47 females with a median age of 51 (33, 62) years old. Most patients were sent to the hospital within the rst 10 or 11 days after the earthquake, with 86.8% hospitalized after 10 days and 22.0% after 11 days. The number of outpatients reached its peak of 37.1% of all the outpatients (33 cases) within 34 days after the earthquake. The wounded were mainly admitted into the Department of Orthopaedics, with 34.81% of the patients having lower limb fracture, 18.26% having spine fracture, and 12.59% su ering pelvis fracture. Only 2 out of the 89 patients died. One death was due to 60% burning injury and 1 died of multiple catastrophic injuries. Conclusion Based on the data, it is important to develop an emergent plan for medical rescues after an earthquake disaster and to strengthen the reserve of medical supplies, personnel training, scienti c eld triage and the construction of information platforms.
Objective To analyze retrospectively the overall situation of medical rescue in the First A liated Hospital of Guangxi Medical University after the Wenchuan earthquake, so as to provide references for the emergency preparation for the disaster of earthquake. Methods Analysis was based on the data provided by the Department of Information, the Medical Record Library, the Department of Emergency, the Department of Orthopaedics and other related departments of the hospital. The software Microsoft EXCEL was used for data management, and SPSS 13.0 was used for statistical analysis. Results From May 22 to May 26, 91 cases from the disaster area had been treated in the hospital, of which 90 were from Mianyang and 1 from Chengdu. These patients included 44 males with a median age of 38 (27, 53) years old and 47 females with a median age of 51 (33, 62) years old. Most patients were sent to the hospital within the rst 10 or 11 days after the earthquake, with 86.8% hospitalized after 10 days and 22.0% after 11 days. The number of outpatients reached its peak of 37.1% of all the outpatients (33 cases) within 34 days after the earthquake. The wounded were mainly admitted into the Department of Orthopaedics, with 34.81% of the patients having lower limb fracture, 18.26% having spine fracture, and 12.59% su ering pelvis fracture. Only 2 out of the 89 patients died. One death was due to 60% burning injury and 1 died of multiple catastrophic injuries. Conclusion Based on the data, it is important to develop an emergent plan for medical rescues after an earthquake disaster and to strengthen the reserve of medical supplies, personnel training, scienti c eld triage and the construction of information platforms.
引文
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12张本,王学义.唐山大地震所致孤儿心理创伤后应激障碍的调查.中华精神科杂志,2000,2:111-114.
13郭念锋.国家职业资格培训教程心理咨询师.北京:民族出版社,2002.2231.
2王正国.地震灾害的特殊性点及其所致创伤的救治.中华创伤杂志,2008,6:401-404.
3Stone R.Wenchuan earthquake.Damaged university mourns its dead and plans fast recovery.Science,2008,5880:1145.
4Bozkurt M,Ocguder A,Turktas U,et al.The evaluation of trauma patients in Turkish Red Crescent Field Hospital following the Pakistan earthquake in2005.Injury,2007,3:290-297.
5Sarisozen B,Durak K.Extremity injuries in children resulting from the1999Marmara earthquake:an epidemiologic study.J Pediatr Orthop B,2003,4:288-291.
6SH Bhatti,I Ahmed,NA Qureshi,et al.Head trauma due to earthquake October,2005experience of300cases at the combined military hospital rawalpindi.Journal of The College of Physicians and Surgeons Pakistan,2008,1:22-26.
7Kuwagata Y,Oda J,Tanaka H,et al.Analysis of2,702traumatized patients in the1995Hanshin Awaji earthquake.J Trauma,1997,3:427-432.
8Tahmasebi MN,Kiani K,Mazlouman SJ,et al.Musculoskeletal injuries associated with earthquake.A report of injuries of Iran's December26,2003Bam earthquake casualties managed in tertiary referral centers.Injury,2005,1:27-32.
9唐时元.地震伤员院间分流及其意义探讨.中国循证医学杂志,2008,8(9):726-728.
10Roy N,Shah H,Patel V,et al.The Gujarat earthquake experience in a seismically unprepared area:community hospital medical response.Prehosp Disaster Med,2002,4:186-195.
11Roy N,Shah H,Patel V,et al.Surgical and psychosocial outcomes in the rural injured a follow up study of the2001earthquake victims.Injury,2005,8:927-934.
12张本,王学义.唐山大地震所致孤儿心理创伤后应激障碍的调查.中华精神科杂志,2000,2:111-114.
13郭念锋.国家职业资格培训教程心理咨询师.北京:民族出版社,2002.2231.
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