9例汶川地震伤员死亡原因分析
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摘要
目的分析成都市第三人民医院收治的汶川地震死亡病例特征及死亡原因,为今后减少类似地震伤病死率提供参考。方法从医院信息处、病案室、门诊部系统收集震后(5月12日)至7月12日8时止收治地震死亡病例的相关资料,分析其死亡原因。资料录入采用EXCEL表格,统计分析采用SPSS 13.0软件。结果截至7月12日,我院收治的575例地震伤员中共有9例死亡(病死率1.57%),其中男3例,女6例,门诊死亡5例,均为颅脑损伤;住院死亡4例,死亡原因与合并基础疾病、并发感染等相关。结论震后早期应加强对颅脑损伤的筛查,处理前移;后期应有针对性地治疗伤员的基础疾病,预防并控制感染。
Objective To retrospectively analyze the characteristics and death causes among the Wenchuan earthquake victims in The Third People’s Hospital of Chengdu so as to provide information for reducing mortality in future earthquake disasters. Methods The analysis was based on the data provided by the Department of Information, the Medical Record Library, and the Emergency Room of the hospital through July 12. Microsoft EXCEL was used for data input and SPSS 13.0 was used for statistical analyses. Results Through July 12, 9 (1.57%) out of the 575 wounded patients died, comprising 3 males and 6 females. Of those, 5 died in the outpatient department. The death causes were all related to severe cerebral injuries. The other 4 died in the inpatient department and the death causes were related to severe underlying illnesses and infection. Conclusion Screening and early treatment for cerebral injuries is very important in the period directly following the earthquake. Later, more attention should be paid to the treatment of underlying illnesses as well as the prevention and control of infection.
Objective To retrospectively analyze the characteristics and death causes among the Wenchuan earthquake victims in The Third People’s Hospital of Chengdu so as to provide information for reducing mortality in future earthquake disasters. Methods The analysis was based on the data provided by the Department of Information, the Medical Record Library, and the Emergency Room of the hospital through July 12. Microsoft EXCEL was used for data input and SPSS 13.0 was used for statistical analyses. Results Through July 12, 9 (1.57%) out of the 575 wounded patients died, comprising 3 males and 6 females. Of those, 5 died in the outpatient department. The death causes were all related to severe cerebral injuries. The other 4 died in the inpatient department and the death causes were related to severe underlying illnesses and infection. Conclusion Screening and early treatment for cerebral injuries is very important in the period directly following the earthquake. Later, more attention should be paid to the treatment of underlying illnesses as well as the prevention and control of infection.
引文
1薛力,陈敏,尹代红,等.成都市第三人民医院563例汶川地震伤员救治分析.中国循证医学杂志,2008,8(8):597-601.
2包晓航,张晓东.地震灾害中的创伤类型、死亡原因和急救处理.中国医药指南,2008,6(5):7-9.
3徐卫东,张春才,李明.地震灾害伤员的挤压伤早期处理,2008年,中国矫形外科杂志,16(20):
4谢娟,杜亮,夏天,等.四川大学华西医院1861例汶川地震住院和死亡伤员伤情与死因分析.2008,8(8):591-596.
5薛欣盛,张中伟,周琰,等.汶川地震死亡相关因素分析.中国呼吸与危重监护杂志,2008,7(4):245-247.
6高劲谋.部位伤的院前急救.见:王正国,主编.灾难和事故的创伤救治.第1版.北京:人民卫生出版社.2005.71-107.
7孙志刚,李宏立.地震伤员分类的方法和原则.灾害医学,2001,16:61-64.
8王振国.地震灾害的特点及其所致创伤的救治.中华创伤杂志,2008,24:401-404.
9四川汶川大地震灾区医院感染预防与控制指南.http://news.xinhuanet.com/politics/2008-05/21/content_8219741.htm.
2包晓航,张晓东.地震灾害中的创伤类型、死亡原因和急救处理.中国医药指南,2008,6(5):7-9.
3徐卫东,张春才,李明.地震灾害伤员的挤压伤早期处理,2008年,中国矫形外科杂志,16(20):
4谢娟,杜亮,夏天,等.四川大学华西医院1861例汶川地震住院和死亡伤员伤情与死因分析.2008,8(8):591-596.
5薛欣盛,张中伟,周琰,等.汶川地震死亡相关因素分析.中国呼吸与危重监护杂志,2008,7(4):245-247.
6高劲谋.部位伤的院前急救.见:王正国,主编.灾难和事故的创伤救治.第1版.北京:人民卫生出版社.2005.71-107.
7孙志刚,李宏立.地震伤员分类的方法和原则.灾害医学,2001,16:61-64.
8王振国.地震灾害的特点及其所致创伤的救治.中华创伤杂志,2008,24:401-404.
9四川汶川大地震灾区医院感染预防与控制指南.http://news.xinhuanet.com/politics/2008-05/21/content_8219741.htm.
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