一线三甲医院汶川地震7天内23例腹部闭合性损伤救治分析
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摘要
目的回顾性分析德阳市人民医院23例汶川地震腹部损伤住院和死亡伤员伤情与死因,为今后完善和健全地震灾害应急预案机制和腹部损伤处置提供决策参考。方法从医院信息处系统收集震后1周内收治地震伤员的相关资料,分析伤员基本情况。资料录入采用EXCEL表格。结果我院共收治住院腹部伤员23例,占总住院伤员的1.9%;绝大部分伤员来自绵竹市,在12h内入院并得到救治。本组伤情严重、病情复杂;死亡5例,病死率21.74%;脾脏损伤采取脾切除术;切口感染2例,与围手术期未使用抗生素有关。结论建立我国地震灾害腹部脏器损伤的医疗救援应急预案,对保证救援人员配置和伤员分检、最优化手术安排、减少地震腹部伤病死率非常重要。
Objective To analyze the outcome of patients with Blunt Abdominal Injury(BAI)in the Deyang People's Hospital after the Wenchuan Earthquake,in order to provide evidence for future improvement in emergency response after earthquakes and in the treatment of BAI patients.Methods Data on the BAI patients within 1 week after the earthquake were collected from the Information Department of the Hospital.Microsoft EXCEL was used for data input.Results A total of 23 BAI inpatients were treated,of whom 15 were from Mianzhu City and sent to hospital within 12 hours of the earthquake.This was 1.9% of the total inpatients.The BAI inpatients suffered severe and complex injuries,and 5 of them died(mortality rate:22%).Linenectomy was conducted for patients with spleen injuries and two inpatients developed incision infection due to lack of antibiotics during the perioperative period.Conclusions It is important to establish an emergency response mechanism for medical rescue for patients with the viscera injury,including BAI,after an earthquake.This would help to guarantee rational allocation of the rescue workers,triage of the wounded,optimization of operation,as well as a reduction in mortality from BAI.
Objective To analyze the outcome of patients with Blunt Abdominal Injury(BAI)in the Deyang People's Hospital after the Wenchuan Earthquake,in order to provide evidence for future improvement in emergency response after earthquakes and in the treatment of BAI patients.Methods Data on the BAI patients within 1 week after the earthquake were collected from the Information Department of the Hospital.Microsoft EXCEL was used for data input.Results A total of 23 BAI inpatients were treated,of whom 15 were from Mianzhu City and sent to hospital within 12 hours of the earthquake.This was 1.9% of the total inpatients.The BAI inpatients suffered severe and complex injuries,and 5 of them died(mortality rate:22%).Linenectomy was conducted for patients with spleen injuries and two inpatients developed incision infection due to lack of antibiotics during the perioperative period.Conclusions It is important to establish an emergency response mechanism for medical rescue for patients with the viscera injury,including BAI,after an earthquake.This would help to guarantee rational allocation of the rescue workers,triage of the wounded,optimization of operation,as well as a reduction in mortality from BAI.
引文
1陈孝平.腹部损伤.外科学.人民卫生出版社,2001.455-467.
2王坚,戴佳奇.汶川地震腹部损伤的诊治.中华消化外科杂志,2008,7(4):254-255.
3谢娟,杜亮,夏天,等.四川大学华西医院1861例汶川地震住院和死亡伤员伤情与死因分析.中国循证医学杂志,2008,8(8):591-596.
4吴阶平,裘法祖.黄家驷外科学.第6版.人民卫生出版社,2002.949.
2王坚,戴佳奇.汶川地震腹部损伤的诊治.中华消化外科杂志,2008,7(4):254-255.
3谢娟,杜亮,夏天,等.四川大学华西医院1861例汶川地震住院和死亡伤员伤情与死因分析.中国循证医学杂志,2008,8(8):591-596.
4吴阶平,裘法祖.黄家驷外科学.第6版.人民卫生出版社,2002.949.
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