Earthquake Early treatment of injured seriously injured.docVIP

 PAGE \* MERGEFORMAT 13 Earthquake Early treatment of injured seriously injured Of: Huang Xiankai, Shen Yue, Guo Shan, Wang Fang [Abstract] Objective To investigate the earthquake injured seriously wounded early treatment. Methods 286 cases of severe earthquake injured implementation of early treatment, single-site injuries in 189 cases (66.1%, AIS score was 3.8 points, multiple trauma 97 cases (33.9%, ISS score average of 27.7 points. emergency surgery in 65 cases: one liver rupture repair in 12 cases, rupture splenectomy in 13 cases, 3 cases of mesenteric vascular injury repair, repair for abdominal injury in 6 cases, 4 cases of diaphragmatic rupture repair, intracranial hematoma in 12 cases, lots of blood line thoracotomy in 9 cases of pneumothorax (lung rupture repair in 4 cases, partial resection of the lung and bronchus in 5 cases), cardiac tamponade pericardial incision line in 1 case, the line flail chest rib fixation in 5 cases. early surgery 72 cases: fracture debridement and external fixation plus 57 cases, amputation in 15 cases. Results 59 cases were cured, 196 cases were transferred after initial treatment, 28 patients received post-rehabilitation, and 3 died. Conclusions grading treatment can be guaranteed timely and effective treatment of seriously wounded, seriously wounded, and with severe heart and lung diseases, injuries and other infrastructure should be implemented damage control, do repeated FDD is an effective way to prevent delay in diagnosis and treatment, strengthening multi-disciplinary collaboration to improve the success rate of treatment of critically ill patients with very important role. [Keywords:] Earthquake damage control classification of traumatic injury treatment Abstract: Objective To explore the methods of treatment in the early period for severe patients with earthquake injury.Methods A total of 286 patients with serious earthquake injury were treated.There were 189 cases of single part injury, whose avera