大地震初期紧急医疗救援要点绵竹现场抢救工作经验.pdfVIP

• 392 • CHINA 1OURNAL OF EMERGENCY RESUSCITA饥ON AND DISASTER MEDICINE Julv 2∞8. VoL 3.Nι7 四川汶川地震医学救援·论著 大地震初期紧急医疗救援要点:绵竹现场抢救工作经验 张蕴霞吴寿岭屈顺喜王国胜闰秀纵刘此强翁卒陈瑞珊伊俊碎陈伟 【摘要】 5.12 坟川地震后，唐山红丰字医疗救护队急赴四川绵竹地震灾区进行救援工作。从灾匹现场工作中总结出 以下经验z 地震灾区医疗救援队的组成人员应以外科、骨科医师和护士为主，应选择年龄相对较轻、体服较好的人员:伤情 分类、分级制度必须坚持;就地取材，应用硬塑料板、晚纸板等进行伤肢固定时哥哥注虐捎毒:注意彻戚消仓IJ; 使用最多的抗菌 药物包括头炮商量号类和唾诺酬类，避免应用可能损害肾功能的药物，镇痛药物主要选用非国体类药物，如布洛芬1 必要的心 理干预在地撞初期救援中发挥了重要的作用。 【关键词1 地震:救援:灾害医学:外伤 【中图分提号】 P315.9 【文献标识码) A [文章被捕号】 1673叩6966(2∞8)07-0392-02 Gist of emer阴nt medical rescue in early stage of earthquake: experience obtained from the on-the-spot rescue in Mianzhu ZHANG Yun-xía, WU Shou-li吨， QUShun节， etal. Ðepar恤ent o[ Gynecology and ObstetrÏcs, Ka.iluan Hωpi时， North China Coal Medical Col1ege, Tan. [Abstract) Mter the Wenchuan earth甲lake， a Tangshan Red Cross Medícal Rescue Team was dí目patched ímmedíatelyω the earth明ake叩stricken area in Mianzhu Cíty. The fo Ilowing experience was summarized during the or川h←spot rescue. The key personnel in medícal 陀r.es优酬cue 切team 巾dun汀lnT咀吨lT those who are relatively young and with good stamina. Triage and grading system of the wound conditíons must be adhered to. It is unavoidable to draw materials , such as plastic boards and cardboardsωfixation instrumen饵， from local resources. However, 自terilízation has to be emphasized. Debridement should be conducted thoroughly. 叽le most used antibiotics include cephalosporin and quinolones. Drugs that may damage, the renal functions should be avoided. When analgesics should be used , non-steroidal anti-inflammatory drug日， for example ibuprofen, should beωnsidered first. Psychological interventíon is very important among 加 patients during disaster. Key words) Earth年lake; Rescue;