汶川地震创伤患者流行病学特点及急救情况分析
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摘要
目的研究汶川地震创伤患者流行病学特点和急救情况。方法随机抽样并临床分析我省所收治的84例汶川地震创伤患者,统计患者临床资料并进行相关分析。结果地震患者性别男女等比;年龄段以成年为主;民族以汉族为主;职业以农民、学生、无业人员为主;受伤地点以其他地点、学校、宿舍为主;受伤原因以砸伤、压伤、摔伤为主;救出时间以即刻为主;救出方式以他救为主;受伤部位以体表、四肢和骨盆、头面为主;ISS评分以极重组和轻度组为主;急诊手术以清创缝合术为主,择期手术以肢体骨折复位内固定术为主;早期并发症以失血性休克为主。结论地震创伤不同于普通创伤,需要合理分配医疗资源,加大医疗基础建设投入,注重资料收集能为群伤后有目的地进行干预提供参考依据。
Objective To analyze the epidemiolgy and emergency treatment of traumatic patients in Wenchuan earthquake.Methods Eighty-four cases were randomly enrolled and investigated.Results The sexual proportion of patients was same.Most patients were adult.Most nation was Han.Most common vocation were farmer,student and jobless.Most common locality of accident were others,school and dormitory.Most common cause of injury were crash,crush and falling.Most common length of rescue time was immediately.Most common rescue method was rescued by the other people.Most common position of injury were body surface,extremities and pelvis,head and face.Most common ISS groups were extra-severe group and micro injury group.Most common emergency operation was debridement and suturing,and most common selective operation was reposition and pexis of bone fracture.Most common early complication was hemorrhagic shock.Conclusion Features of traumatic patients in earthquake was significant different from those in common injury.It demand to manage the medical resources reasonably,improve the basic medical construction and collect the clinical data to serve for the management of crowd injury treatment.
Objective To analyze the epidemiolgy and emergency treatment of traumatic patients in Wenchuan earthquake.Methods Eighty-four cases were randomly enrolled and investigated.Results The sexual proportion of patients was same.Most patients were adult.Most nation was Han.Most common vocation were farmer,student and jobless.Most common locality of accident were others,school and dormitory.Most common cause of injury were crash,crush and falling.Most common length of rescue time was immediately.Most common rescue method was rescued by the other people.Most common position of injury were body surface,extremities and pelvis,head and face.Most common ISS groups were extra-severe group and micro injury group.Most common emergency operation was debridement and suturing,and most common selective operation was reposition and pexis of bone fracture.Most common early complication was hemorrhagic shock.Conclusion Features of traumatic patients in earthquake was significant different from those in common injury.It demand to manage the medical resources reasonably,improve the basic medical construction and collect the clinical data to serve for the management of crowd injury treatment.
引文
[1]吴系科.流行病学新分支-伤害流行病学.中华流行病学杂志,1997,18(3):167-170.
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[4]白祥军,李占飞,高伟,等.多发伤危重症救治及血清细胞因子表达水平的探讨.华中医学杂志,2002,26(5):249-251.
[5]白祥军,裘法祖.建立创伤外科专科、提高多发伤救治水平.中华创伤杂志,2004,20(12):709-710.
[6]洪光祥.正确处理创伤、提高治疗效果.华中医学杂志,2004,28(5):277-277.
[7]彭南生.急诊医学的发展需要临床各科的支持与协作.华中医学杂志,2002,26(5):233-233.
[2]王正国.多发伤的救治.中华创伤杂志,2004,20(1):1-3.
[3]龚永生,蔡志强,段华汛,等.多发伤67例诊疗体会.华中医学杂志,2004,28(5):307-308.
[4]白祥军,李占飞,高伟,等.多发伤危重症救治及血清细胞因子表达水平的探讨.华中医学杂志,2002,26(5):249-251.
[5]白祥军,裘法祖.建立创伤外科专科、提高多发伤救治水平.中华创伤杂志,2004,20(12):709-710.
[6]洪光祥.正确处理创伤、提高治疗效果.华中医学杂志,2004,28(5):277-277.
[7]彭南生.急诊医学的发展需要临床各科的支持与协作.华中医学杂志,2002,26(5):233-233.
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