文档介绍：129例汶川地震转运骨科伤员的临床特点和救治措施
(作者:___________单位: ___________邮编: ___________)
作者:卢旻鹏,蒋电明,权正学,黄伟,倪卫东,江伟
【摘要】[目的]总结汶川地震转运骨科伤员的临床特点和救治经验。[方法]对本科自2008年5月13日-2008年6月10日收治的129例汶川地震转运骨科伤员进行检伤分类,记录内容主要包括:转运人次,患者的主诉,诊断,损伤部位及类型,是否伴有感染以及接诊后的处理,治疗效果等。[结果]129例伤员中,骨折伤员95例,其中开放性骨折35例51处,闭合性骨折60例139处;26例(%)39条神经损伤;54例(%)并发感染;有110例伤员行手术治疗;所有伤员无死亡病例,1例院外截肢伤员因残端感染严重而行多次残端清创、修整;开放性损伤伤员除2例截止发稿时伤口未愈合外,其余病例伤口均愈合;无术后切口感染。[结论]汶川地震转运骨科伤员的临床特点明显,必须根据其临床特点予以个体化救治,同时要积极防治相关并发症,以降低伤员死亡率和致残率。
【关键词】地震; 骨科; 伤员; 转运; 治疗
Abstract:[Objective]To summarize the clinical characteristics and the treatment experience of the patients from Wenchuan earthquake area.[Method]Totally 129 patients injuried in the Wenchuan earthquake from May 13 to June 10,2008 were admitted in this recording content included plaints,diagnosis,damage locations and types,whether with infection or not,treatment,efficacy and so on.[Result]There were 95 fracture cases which included 35 open fracture with 51 fracture sites,60 closed fracture cases with 139 fracture sites;39 associated neural injuries in 26 patients(%);54 cases of infection(%);110 cases had was no death case,but one outside hospital amputation patient had multiple stump debridement and trimming due to severe open fracture cases were healing except 2 cases until now,no case with infection after operation.[Conclusion]The clinical characteristics of the patients being evacuated from Wenchuan earthquake are outstanding,it need individualized remedy according to the clinical characteristics and we should prevent and cure plications positively in order to depress the fatality and disability rate.
Key words:earthquake; orthopedics; patient; transfer; treatment
2008年5月12日,,其破坏范围达十多个县市,全国大多数省市都有震感。这次地震共死亡69 142人,失踪17 551人,受伤358 816人[1~3]。本院在地震当天即派出医疗小分队赴汶川救援。自2008年5月13日-2008年6月10日本院共收治汶川地震伤员152例,其中本科收治129例伤员。在奋力抢救伤员的实践中,作者对地震伤员的救治有了一些认识,为了更好的为地震伤员服务,现将本科收治的地震伤员的临床病情特点和救治过程中的经验教训介绍如下。
1 资料与方法