汶川地震后送伤员的伤情调查分析
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摘要
目的:调查分析汶川地震后送伤员的伤情。方法:对汶川地震后2周转来长海医院的34例地震伤员伤情进行调查,重点对伤员伤情、分类、救治方法进行分析。结果:受伤现场伤员急救、分类与转送,对合并软组织损伤的骨折伤员选择性应用外固定支架、积极修复软组织损伤,辅以积极的心理评估与干预,能有效地提高地震伤治愈率,减少并发症的发生。结论:总结汶川地震后送伤员的伤情特点与救治经验,为地震伤员的救治提供了初步依据和方法。
Objective:To investigate and analyze the traumatic conditions on the casualties evacuated from Wenchuan earthquake area.Methods:Traumatic conditions of 34 patients evacuated to Changhai hospital were investigated.Meanwhile,classification of traumatic conditions and therapeutic methods was analyzed.Results:By organized emergency medical treat-ment,classification and transmission of casualties,selected application of external fixation,active repair of soft tissue injury,positive psychological assessment and intervention,healing rate was efficiently rasied and complications were decreased.Con-clusion:The summary of traumatic conditions and therapeutic experiences on wounded people of Wenchuan earthquake area can provide the primary basis and treatment methods for the wounded people with earthquake injury.
Objective:To investigate and analyze the traumatic conditions on the casualties evacuated from Wenchuan earthquake area.Methods:Traumatic conditions of 34 patients evacuated to Changhai hospital were investigated.Meanwhile,classification of traumatic conditions and therapeutic methods was analyzed.Results:By organized emergency medical treat-ment,classification and transmission of casualties,selected application of external fixation,active repair of soft tissue injury,positive psychological assessment and intervention,healing rate was efficiently rasied and complications were decreased.Con-clusion:The summary of traumatic conditions and therapeutic experiences on wounded people of Wenchuan earthquake area can provide the primary basis and treatment methods for the wounded people with earthquake injury.
引文
[1]列本蒂施,斯托尔茨(王衍发,等译).军事医学若干问题.北京:解放军出版社,1984.438446.
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[4]Wyrsch B,McFerran MA,McAndrew M,et a1.Operative treatment of fractures of the tibial plafond.A randomized,prospective study.J Bone Joint Surg(Am),1996,78(11):l646l657.
[5]Tahmasebi MN,Kiani K,Mazlouman SJ,et al.Musculoskeletal inju ries associated with earthquake:A report of injuries of Iran's December26,2003Bam earthquake casualties managed in tertiary referral centers.Injury,2005,36:2732.
[6]Kantarci G,Vanholder R,Tuglular S,et al.Acute renal failure due to crush syndrome during Marmara earthquake.Am J Kidney Dis,2002,40(4):682689.
[7]曾炳芳,刘旭东.肢体骨骼创伤修复的进展.中国修复重建外科杂志,2006,20(4):313318.
[8]朱春红,杨洋,雷联会,等.阿尔及利亚地震灾后伤员灾害心理研究及航空运送心理辅助.武警医学,2004,15(1):7576.
[9]Altindag A,Ozenb S,Sir A.One year follow up study of posttrau matic stress disorder among earthquake survivors in Turkey.Compr Psychiatry,2005,46(5):328333.
[10]Kuo HW,Wu SJ,Ma TC,et al.Posttraumatic symptoms were worst among quake victims with injuries following the Chi chi quake in Taiwan.J Psychosom Res,2007,62(4):495500.
[2]Mulvey JM,Awan SU,Qadri AA,et al.Profile of injuries arising from the2005Kashmir earthquake:The first72h.Injury,2008,39(5):554560.
[3]Bose D,Tejwani NC.Evolving trends in the care of polytrauma patients.Injury,2006,37(1):2028.
[4]Wyrsch B,McFerran MA,McAndrew M,et a1.Operative treatment of fractures of the tibial plafond.A randomized,prospective study.J Bone Joint Surg(Am),1996,78(11):l646l657.
[5]Tahmasebi MN,Kiani K,Mazlouman SJ,et al.Musculoskeletal inju ries associated with earthquake:A report of injuries of Iran's December26,2003Bam earthquake casualties managed in tertiary referral centers.Injury,2005,36:2732.
[6]Kantarci G,Vanholder R,Tuglular S,et al.Acute renal failure due to crush syndrome during Marmara earthquake.Am J Kidney Dis,2002,40(4):682689.
[7]曾炳芳,刘旭东.肢体骨骼创伤修复的进展.中国修复重建外科杂志,2006,20(4):313318.
[8]朱春红,杨洋,雷联会,等.阿尔及利亚地震灾后伤员灾害心理研究及航空运送心理辅助.武警医学,2004,15(1):7576.
[9]Altindag A,Ozenb S,Sir A.One year follow up study of posttrau matic stress disorder among earthquake survivors in Turkey.Compr Psychiatry,2005,46(5):328333.
[10]Kuo HW,Wu SJ,Ma TC,et al.Posttraumatic symptoms were worst among quake victims with injuries following the Chi chi quake in Taiwan.J Psychosom Res,2007,62(4):495500.
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