汶川地震转移伤员32例临床分析

英文篇名：Characteristics of the wounded transfered from the Wenchuan Earthquake-stricken area:analysis of 32 cases
中文刊名：中国急救复苏与灾害医学杂志
英文刊名：China Journal of Emergency Resuscitation and Disaster Medicine
作者：闫长明 ; 李高玉 ; 夏东升 ; 岳喜军 ; 刘刚 ; 段钢 ; 郑伟
英文作者：*YAN Chang-ming ; LI Gao-yu ; XIA Dong-sheng ; et al.*Department of Orthopedics ; Second Affiliated Hospital of Xuzhou Medical College ; Xuzhou 221006 ; China
中文关键词：地震灾区 ; 伤员 ; 外伤
英文关键词：The wounded ; Earthquake-stricken area ; Injury
出版日期：2008-12-20
机构：徐州医学院第二附属医院骨科;
年：2008
期：12
出版单位：中国急救复苏与灾害医学杂志

摘要

汶川大地震后17d,徐州医学院第二附属医院骨科接收了从汶川地震灾区转来的32例伤员,最大97岁,最小12岁,平均48.6岁。直接砸、压、埋所致多发伤30例(93.8%)。骨折27例(84.4%)。发病部位多在四肢(26例,57.8%),脊柱(5例,11.1%),骨盆(3例,6.7%),和肋、锁骨(8例,17.8%)。术后合并症包括皮肤软组织坏死及骨外露,创面不同程度感染,肺部感染,胸腔积液,霉菌感染,褥疮,贫血,低氧血症,神经损伤等。通过正确处理伤口尽早闭合创面,运用综合措施合理处理骨折,进行肢体术后的早期康复锻炼,积极防治并发症,加强护理,注重心理疏导和亲情关爱,32例伤员全部康复出院。
17 days after the Wenchuan earthquake,the Department of Orthopedics of the Second Affiliated Hospital of Xuzhou Medical College received 32 patients wounded during the earthquake,aged 48.6(12～97).93.8%(n=30) of the patients suffered from multiple trauma caused by direct smashing,pressure,and burying,and 84.4% suffered from fracture.The most common pathogenic sites included the limbs(57.8%),spine(11.1%),pelvis(6.7%),and ribs and clavicles(17.8%).The postoperative complications included merging of skin and soft tissue necrosis and bone exposure,varying degrees of wound infection,lung infection,fungal infection,bedsore,anemia,hypoxemia,and nerve injury.Particular intensive nursing and psychological guidance helped improve the recovery.All patients were recovered with an average hospitalization time of 43.9 days.

引文

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