汶川地震绵阳震区伤员的死亡分析

英文篇名：Death analysis of casualties in Mianyang earthquake zone after Wenchuan earthquake
中文刊名：现代医药卫生
英文刊名：Modern Medicine & Health
作者：陈莉 ; 冯亮 ; 张耀 ; 张晓红
英文作者：CHEN Li ; FENG Liang ; ZHANG Yao ; et al.(1.The Second Affiliated Hospital of North Sichuan Medical College(Mianyang 404 Hospital) ; Mianyan ; Sichan 621000 ; China ; 2.Mi-anyang Central Hospital ; Mianyan ; Sichan 621000 ; China)
中文关键词：地震 ; 死亡分析
英文关键词：Earthquake ; Death analysis
出版日期：2009-02-15
机构：川北医学院附属第二医院(绵阳404医院);绵阳市中心医院;
年：2009
期：03
出版单位：现代医药卫生

摘要

目的:探讨地震灾害医院内死亡病例的总体特征与影响因素。方法:分析汶川地震绵阳震区地震死亡病例资料,调查其相关问题与可能原因。结果:诊断依据主要依靠典型症状体征(模糊定性法)。69.86%死亡病例无确定诊断,调查分析多为多发伤(胸腹部损伤)、休克、循环呼吸衰竭;有明确死亡诊断的病例以脑外伤最多。地震后24小时内死亡561例,占死亡病例的66.31%;98%死于救出后24 h内转运途中或急诊室、ICU。结论:灾害事故的医疗救援中,严重伤伤员中救治力量严重不足,死亡率高;提高现场救治力度是最佳选择,但依赖于高效的运输能力和大量具有独立工作能力现场医疗救援队。
Objective:To explore the overall characteristics and relevant reasons of death of the earthquake casualties in Mianyang earthquake zone after Wenchuan earthquake.Methods:The data of dead casualties in Mianyang earthquake zone after Wenchuan earth-quake were reviewed retrospectively.Results:Because of the serious damage of locate hospital and mass casualties,the medical treatment relied on backward hospitals,so that the mass serious casualties were dead in the way of transport or in emergency room.Conclusion:To reduce the mortality,the mobile hospitals having independently working capability should be built up,and the transport capability should be improved.

引文

[1]刘庆,侯世科,郑静晨,等.援外地震救援中流动医院危重患者救治分析[J].武警医学,2006,17(10):786.
    [2]张永青,杨造成,彭碧波.巴拉考特地震灾区发病情况分析[J].武警医学,2006,17(2):15.
    [3]赵伟.灾害救援现场的检伤分类方法-评述院外定性与定量法[J].中国急救复苏与灾害医学杂志,2007,2(5):292.
    [4]Mulvey JM,Awan SU,Qadri AA,et al.Profile of injuries arising from the 2005 Kashmir earthquake:the first 72 h[J].Injury,2008,39(5):554.
    [5]侯世科,樊毫军.移动医院的创建及其在国际救援中的应用[J].中国急救复苏与灾害医学杂志,2007,2(2):82.