地震后送伤员的临床特点及救治对策_临床医学论文.docVIP

地震后送伤员的临床特点及救治对策_临床医学论文 地震后送伤员的临床特点及救治对策_临床医学论文 作者：任永川，赵玉峰，麻晓林，沈岳 【摘要】 目的 总结分析汶川地震后送伤员的伤情特点和救治情况，探讨后方医院的医疗配置和伤员救治方法。方法 回顾性分析2008年5月14日～2008年6月13日我院抗震救灾病房收治的100例汶川地震伤员，总结分析其伤情特点和院内救治情况。结果 100例伤员中主要以四肢骨折、软组织伤为多见，占78.0%，伤员中合并伤口、创面感染的病例占33.0%。全部伤员中有56例进行了86次手术，占56.0%，手术以软组织清创、修复手术以及四肢骨折固定为主，占全部手术的91.5%。治愈92例，好转8例，全部伤口、创面均愈合。结论 地震灾区后送伤员的治疗以骨折固定、软组织伤清创修复、感染创面处理及康复理疗、功能锻炼为主，医疗配置应以创伤科、骨科、康复科为主。后方医院良好有效的治疗措施可以提高伤员的治愈率，降低伤员的死亡率、伤残率。 【关键词】 地震;伤员;医疗配置;汶川 　　Abstract： Objective To summarize the characteristics of trauma condition of injured people in Wenchuan earthquake and discuss the allocation of medical resources and method of medical rescue.Methods A total of 100 patients injured in Wenchuan earthquake were treated in our hospital from May 14,2008 to Sep.12,2008.Their traumatic condition and inhospital treatment were retrospectively analyzed.Results Bone fracture and soft tissue injury in limbs accounted for 78.0%,and 33.0% of patients had wound infection.Totally,there were 56 patients receiving 86 operations,accounting for 56.0%.And 91.5% of those operations aimed to debride soft tissue,repair and fix the fractured bone.Ninetytwo cases recovered and 8 cases relieved.All the trauma and wound surface healed.Conclusion Fixation of fracture,debridement and repair of soft tissue,management of infected wound,rehabilitation and functional exercise are used in the treatment of earthquake injury.Departments of trauma,orthopaedics and rehabilitation are allocated to take the main responsibility.The quick,efficient medical treatment in rear hospitals can significantly increase the recovery rate and decrease the mortality and disability. 　　Key words：earthquake;patients;medical resources allocation;Wenchuan 　　“5·12”汶川地震后，在短时间内出现大量伤员，为缓解地震灾区压力，部分伤员需向非灾区医院分流。自2008年5月14日～6月13日我院共接收汶川地震灾区伤员141例，其中100例伤员在抗震救灾病房治疗后出院。笔者通过分析地震后送伤员的伤情特点和救治方法，探讨非灾区医院的医疗合理配置和伤员救治方法，对指导今后灾难医学救援有一定的价值。 资料与方法 　　1 一般资料 　　100例伤员中，男性41例，女性59例，男女之比为1：1.4;年龄3～88岁，平均(48.3±19.5)岁，其中18～60岁最多，55例，占55.0%;gt;60岁34例，占34.0%;