汶川地震应急期伤员手术类型分析及管理经验
|
摘要
目的分析汶川地震发生后前3周内手术特点,为大地震后手术室采取急救策略和医疗资源配置提供经验。方法回顾性分析统计地震应急期(2008年5月12日—6月1日)大型医院手术室内完成的各类手术,并详细分析地震伤员的手术资料:年龄、性别、受伤部位、手术科室、手术名称等。结果汶川地震应急期手术室内完成手术2753台次,其中地震伤员手术819台,占所有手术台数的29.7%。632名手术地震伤员中,成年男性266名(占42.1%),妇女儿童366名(占57.9%)。地震伤员手术分布以四肢伤为主(占76.0%),其次是脊柱脊髓伤(占5.4%)和颅脑损伤(占4.8%)。结论地震应急期启用双轨制管理,合理组织安排手术,根据每周手术特点准备手术器械与用物,使地震伤员和非地震病员都可以得到满意的救治。
Objective To analyze the characteristics of operations within the first 3 weeks after Wenchuan earthquake, so as to provide some experience for emergency rescue and medical human resources allocation. Methods A retrospective study was made of the various operations made in the emergency phase of Wenchuan earthquake (May 12-June 1, 2008), and a detailed analysis was made of the information of the wounded, including age, gender, wounded part, operation-carrying department and operation name, etc. Results The total operations numbered 2 753 table times, with 819 tables for those wounded in the earthquake, accounting for 29.7%. Of the 632 cases wounded in the earthquake, adult males numbered 266, accounting for 42.1%, and adult females and children, 366, accounting for 57.9%. The majority of the operations were made for the wounds with the four limbs, accounting for 76.0%, with next being the injuries of the spinal cord and spinal column (5.4%) and the craniocerebral injuries (4.8%). Conclusion In the emergency period of the earthquake, double-track system should be adopted and operations well organized.
Objective To analyze the characteristics of operations within the first 3 weeks after Wenchuan earthquake, so as to provide some experience for emergency rescue and medical human resources allocation. Methods A retrospective study was made of the various operations made in the emergency phase of Wenchuan earthquake (May 12-June 1, 2008), and a detailed analysis was made of the information of the wounded, including age, gender, wounded part, operation-carrying department and operation name, etc. Results The total operations numbered 2 753 table times, with 819 tables for those wounded in the earthquake, accounting for 29.7%. Of the 632 cases wounded in the earthquake, adult males numbered 266, accounting for 42.1%, and adult females and children, 366, accounting for 57.9%. The majority of the operations were made for the wounds with the four limbs, accounting for 76.0%, with next being the injuries of the spinal cord and spinal column (5.4%) and the craniocerebral injuries (4.8%). Conclusion In the emergency period of the earthquake, double-track system should be adopted and operations well organized.
引文
[1]郑静晨,樊毫军,侯世科.中国国际救援队国外地震救援实战论灾害医疗救援模式[J].中国急救复苏与灾害医学杂志,2006,1(1):23-25.
[2]席梅,侯建盛,刘爱兵.国际地震救援行动中的医疗力量配置分析[J].灾害学,2007,22(4):138-139.
[3]高建国.地震应急期的分期[J].灾难学,2004,19(1):11-15.
[4]石应康,郑尚维.区域性国家级医院在汶川地震医疗救援中的战略支撑作用[J].中国循证医学杂志,2008,8(6):380-382.
[5]张庆江.地震灾害紧急医疗救援的难点及对策[J].武警医学,2006,17(10):788-789.
[6]郝占国,吴志东,韩威,等.紧急医疗救援人才培养现状分析及对策[J].武警医学,2006,17(2):151-152.
[7]周春兰,吴艳妮,李小云,等.地震灾区成批伤员后方救治病区的管理[J].中国实用护理杂志,2009,25(2):20-21.
[8]Boakurt M,Ocguder A,Turktas U,et al.The Evaluation of Trauma Patients in Turkish Red Crescent Field Hospital Fol-lowing the Pakistan Earthquake in2005[J].Injury,2007,38(3):290-297.
[9]周春兰,吴艳妮,李小云,等.53例地震伤员后方医院救治期间的病情观察[J].护理学报,2008,15(10):86-88.
[10]张继红,杨晓媛,崔渝敏,等.200例地震致骨折伤员身心状况分析[J].护理学报,2008,15(10):89-90.
[11]黄文霞,刘华英,谭永琼.地震后医疗救治手术支援团队的应急管理[J].中国实用护理杂志,2009,25(1):22-23.
[12]周宏珍,周春兰,陈建辉,等.地震后受灾伤员及其陪护家属的心理及干预[J].护理学报,2008,15(11):87-88.
[13]周春兰,吴艳妮,李小云.后方救治医院对地震灾区患者的人文关怀[J].中华护理杂志,2008,43(11):978-980.
[14]安虹,姜兰,李东文.大批地震伤员紧急手术救治的组织管理[J].护理学报,2009,16(3):30-31.
[2]席梅,侯建盛,刘爱兵.国际地震救援行动中的医疗力量配置分析[J].灾害学,2007,22(4):138-139.
[3]高建国.地震应急期的分期[J].灾难学,2004,19(1):11-15.
[4]石应康,郑尚维.区域性国家级医院在汶川地震医疗救援中的战略支撑作用[J].中国循证医学杂志,2008,8(6):380-382.
[5]张庆江.地震灾害紧急医疗救援的难点及对策[J].武警医学,2006,17(10):788-789.
[6]郝占国,吴志东,韩威,等.紧急医疗救援人才培养现状分析及对策[J].武警医学,2006,17(2):151-152.
[7]周春兰,吴艳妮,李小云,等.地震灾区成批伤员后方救治病区的管理[J].中国实用护理杂志,2009,25(2):20-21.
[8]Boakurt M,Ocguder A,Turktas U,et al.The Evaluation of Trauma Patients in Turkish Red Crescent Field Hospital Fol-lowing the Pakistan Earthquake in2005[J].Injury,2007,38(3):290-297.
[9]周春兰,吴艳妮,李小云,等.53例地震伤员后方医院救治期间的病情观察[J].护理学报,2008,15(10):86-88.
[10]张继红,杨晓媛,崔渝敏,等.200例地震致骨折伤员身心状况分析[J].护理学报,2008,15(10):89-90.
[11]黄文霞,刘华英,谭永琼.地震后医疗救治手术支援团队的应急管理[J].中国实用护理杂志,2009,25(1):22-23.
[12]周宏珍,周春兰,陈建辉,等.地震后受灾伤员及其陪护家属的心理及干预[J].护理学报,2008,15(11):87-88.
[13]周春兰,吴艳妮,李小云.后方救治医院对地震灾区患者的人文关怀[J].中华护理杂志,2008,43(11):978-980.
[14]安虹,姜兰,李东文.大批地震伤员紧急手术救治的组织管理[J].护理学报,2009,16(3):30-31.
版权所有：© 2023 中国地质图书馆 中国地质调查局地学文献中心