汶川创伤患者震后救治情况分析
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摘要
目的研究汶川地震创伤患者震后救治情况。方法随机抽样84例湖北省收治的汶川地震创伤患者并进行临床分析,统计患者一般资料和Glasgow昏迷评分(GCS)、损伤严重度评分(ISS)、手术、并发症、疾病结局等临床救治资料并进行相关分析。结果地震创伤患者受伤部位以体表、四肢和骨盆、头颈部为主。颅脑损伤患者GCS评分平均值为10.32分;ISS评分以轻度组和极重组为主;择期手术以肢体骨折开放复位内固定术为主;早期并发症以失血性休克为主,中晚期并发症以创伤后应激障碍为主。结论地震创伤患者需要合理分配医疗资源,注重一般资料和救治情况的统计,能为群伤后早期干预提供参考依据。
Objective To study the treatment situation of the traumatic patients after Wenchuan earthquake.Methods To randomly select 84 cases of Wenchuan earthquake truamatic patients,and to perform the statistical analysis on the general information,Glasgow coma score(GCS),injury secerity score(ISS),operation,complication,treatment result and other clinical data.Results The majoy position of injury were surface,extremities and pelvis,head and neck.The average GCS was 10.32 in craniocerebral injury patients.The majoy ISS groups were micro and extra-severity injury.The majoy selective operation was bone fracture reposition pexis.The majoy early complication was hemorrhagic shock,and advanced complication was stress disorder.Conclusion It demand to manage the medical resources reasonable for freating the earthquake trauma patients.The collection of general information and clinic treatment situation could provide the data for the early intervention after crowd injury.
Objective To study the treatment situation of the traumatic patients after Wenchuan earthquake.Methods To randomly select 84 cases of Wenchuan earthquake truamatic patients,and to perform the statistical analysis on the general information,Glasgow coma score(GCS),injury secerity score(ISS),operation,complication,treatment result and other clinical data.Results The majoy position of injury were surface,extremities and pelvis,head and neck.The average GCS was 10.32 in craniocerebral injury patients.The majoy ISS groups were micro and extra-severity injury.The majoy selective operation was bone fracture reposition pexis.The majoy early complication was hemorrhagic shock,and advanced complication was stress disorder.Conclusion It demand to manage the medical resources reasonable for freating the earthquake trauma patients.The collection of general information and clinic treatment situation could provide the data for the early intervention after crowd injury.
引文
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[2]王正国.多发伤的救治[J].中华创伤杂志,2004,20(1):1.
[3]白祥军,裘法祖.建立创伤外科专科,提高多发伤救治水平[J].中华创伤杂志,2004,20(12):709.
[4]高劲谋.多发伤和创伤评分[J].中华创伤杂志,2007,23(3):161.
[5]姚元章,张宇,孙士锦.急救绿色通道在严重创伤早期救治中的作用[J].中华创伤杂志,2008,24(4):268.
[6]高劲谋.损伤控制外科的进展[J].中华创伤杂志,2006,22(5):324.
[7]梁华平,王正国.创伤后并发症及死亡结局的预测研究进展[J].中华创伤杂志,2006,22(4):310.
[8]何静,熊鸿燕,陈方祥,等.创伤输血的研究进展[J].中华创伤杂志,2006,22(4):316.
[9]易华云,刘爱忠,孙晓花.创伤后应激障碍的流行病学研究进展[J].中华创伤杂志,2006,22(5):396.
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