地震致骨折的伤情分析与治疗
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摘要
目的:分析地震致骨折伤员的伤情,总结救治经验,探讨战时前线医疗救治模式。方法:在对四川省汶川县特大地震灾害的骨折伤员现场救治中,采集相关临床资料,统计分析伤情,观察手术伤员的临床疗效,验证军地医疗机构联合救治模式的合理性。结果:①收治住院骨折伤员236例,四肢骨折占81.3%,多发骨折占11.4%,开放性骨折占10.6%。②手术伤员55例,术后功能明显改善者达65.5%,无术后感染及截肢病例。③辅以心理疏导,患者均能配合临床治疗,术后短期内功能恢复程度与平时骨折伤员无明显差异。结论:①本次地震危害大,伤员量大、病情较重,以四肢骨折为主,救治过程中应重视全身情况。②医疗队与当地医院合作,进行联合救治,应该视为一种全新的卫勤实践与理念,具有一定优越性。③心理疏导为伤员术后康复提供了有力保障。
Objective:To analyze the fracture conditions of earthquake casualties,summarize the therapeutic experiences and explore the frontier treatment model.Methods:The clinical data of spot treatment of fracture patients in Wenchun earth-quake were collected and analyzed to observe the therapeutic effects of operative patients and to verify the rationality of the co-operated remedy model of unified military and civilian hospitals.Results:Among 236 fracture patients admitted in hospital,there were patients with extremities fractures in 81.3%,multiple fractures in 11.4% and open fractures in 10.6%.In all 55 pa-tients underwent surgical treatment,the functional improvement rate was 65.5% and no infection or amputation happened.Sup-ported by psychological aids,all patients were coordinated with treatment and the short term outcome was parallel with that of ordinary fracture cases.Conclusion:The general conditions of patients should be paid more attention to during the treatment procedure of fractures because of the great quantity of casualties and severe traumatic conditions in Wenchun earthquake.The cooperated remedy model of unified military and civilian hospitals should be regarded as a new sanitation service practice with certain advantages.Psychological aids can provide strong support for the patients' postoperative rehabilitation.
Objective:To analyze the fracture conditions of earthquake casualties,summarize the therapeutic experiences and explore the frontier treatment model.Methods:The clinical data of spot treatment of fracture patients in Wenchun earth-quake were collected and analyzed to observe the therapeutic effects of operative patients and to verify the rationality of the co-operated remedy model of unified military and civilian hospitals.Results:Among 236 fracture patients admitted in hospital,there were patients with extremities fractures in 81.3%,multiple fractures in 11.4% and open fractures in 10.6%.In all 55 pa-tients underwent surgical treatment,the functional improvement rate was 65.5% and no infection or amputation happened.Sup-ported by psychological aids,all patients were coordinated with treatment and the short term outcome was parallel with that of ordinary fracture cases.Conclusion:The general conditions of patients should be paid more attention to during the treatment procedure of fractures because of the great quantity of casualties and severe traumatic conditions in Wenchun earthquake.The cooperated remedy model of unified military and civilian hospitals should be regarded as a new sanitation service practice with certain advantages.Psychological aids can provide strong support for the patients' postoperative rehabilitation.
引文
[1]张英泽,邵新中,孔志刚,等.张北县地震伤情调查与分析.河北医科大学学报,1998,19(3):141142.
[2]张英泽,孔志刚,王锡民,等.张北地震灾区骨科伤员救治经验与教训.中国骨伤,2000,13(7):400.
[3]Ersoy A,Yavuz M,Usta M,et al.Survival analysis of the factors af-fecting in mortality in injured patients requiring dialysis due to a-cute renal failure during the Marmara earthquake:survivors vs non survivors.Clin Nephrol,2003,59:334340.
[2]张英泽,孔志刚,王锡民,等.张北地震灾区骨科伤员救治经验与教训.中国骨伤,2000,13(7):400.
[3]Ersoy A,Yavuz M,Usta M,et al.Survival analysis of the factors af-fecting in mortality in injured patients requiring dialysis due to a-cute renal failure during the Marmara earthquake:survivors vs non survivors.Clin Nephrol,2003,59:334340.
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