“5·12”汶川大地震群体伤院内急救“A管理模式”应用分析
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摘要
目的探讨地震灾害大批量群体伤事件时,有效、快捷的院内急救方法。方法回顾性分析"5.12"地震发生后,我院应用院内急救"A管理模式"在危重地震伤员救治中的效果。结果应用院内急救"A管理模式"救治623例急危重伤员,存活620例,死亡3例,抢救成功率99.51%,与急诊抢救质量标准中的危重病抢救成功率相比较,差异有显著性意义(u=11.97,P<0.01)。结论大批量群体伤事件发生时,应用"A管理模式"救治危重伤员,是有效、快捷的院内急救方法。
Objective To investigate efficient and effective way for the hospital emergency rescue in massive injuries wounded during an earthquake.Methods Retrospectively analyzed the seismic survival rate of the critically injured patients after "5·12" earthquake.The efficiency of "A management model" for the hospital emergency rescue of the seismic injuries was investigated.Results Totally,"A management model" was carried out to rescue 623 cases critically injured patients,in which 620 cases were survived,3 cases were died,the success rate was 99.51%.Comparing the survival rate of the seism critically injured patients with those of the standard emergency treated critically ill patients,the survival rate was significant high(u = 11.97,P < 0.01).Conclusion At the moment of the incident of massive injuries wounded during an earthquake,application of the hospital emergency "A management model" is an efficient and effective way for the hospital emergency rescue of the critically injured patients.
Objective To investigate efficient and effective way for the hospital emergency rescue in massive injuries wounded during an earthquake.Methods Retrospectively analyzed the seismic survival rate of the critically injured patients after "5·12" earthquake.The efficiency of "A management model" for the hospital emergency rescue of the seismic injuries was investigated.Results Totally,"A management model" was carried out to rescue 623 cases critically injured patients,in which 620 cases were survived,3 cases were died,the success rate was 99.51%.Comparing the survival rate of the seism critically injured patients with those of the standard emergency treated critically ill patients,the survival rate was significant high(u = 11.97,P < 0.01).Conclusion At the moment of the incident of massive injuries wounded during an earthquake,application of the hospital emergency "A management model" is an efficient and effective way for the hospital emergency rescue of the critically injured patients.
引文
[1]王一镗.急诊外科学[M].第2版.北京:学苑出版社,2005.
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[3]冯琦,王东,陈立,等.“5.12”汶川特大地震灾害前沿医院“紧急综合救治区”的建立与管理[J].中华急救医学杂志,2008,7(17):684-685.
[4]黄显凯.汶川地震后对我国紧急救援体系的重新思考[J].中国急救医学,2009,2(29):159-161.
[5]孙海晨,邵旦兵,王慧娟,等.批量伤员急救流程的优化[J].创伤外科杂志,2009,3(11):104-105.
[6]沈洪.灾难应对的“瞻前顾后”[J].中国急救医学,2008,6(28):481.
[7]苏文利,王毅鑫,朱文献,等.179例多发伤的救治分析[J].中华急诊医学杂志,2008,10(17):1099-1101.
[8]武秀昆.急救医疗体系建设的模式选择与发展方向[J].中国急救医学,2008,3(28):279.
[2]卢世璧.汶川地震伤员救治的几点经验[J].中国矫形外科杂志,2008,10(16):1521-1522.
[3]冯琦,王东,陈立,等.“5.12”汶川特大地震灾害前沿医院“紧急综合救治区”的建立与管理[J].中华急救医学杂志,2008,7(17):684-685.
[4]黄显凯.汶川地震后对我国紧急救援体系的重新思考[J].中国急救医学,2009,2(29):159-161.
[5]孙海晨,邵旦兵,王慧娟,等.批量伤员急救流程的优化[J].创伤外科杂志,2009,3(11):104-105.
[6]沈洪.灾难应对的“瞻前顾后”[J].中国急救医学,2008,6(28):481.
[7]苏文利,王毅鑫,朱文献,等.179例多发伤的救治分析[J].中华急诊医学杂志,2008,10(17):1099-1101.
[8]武秀昆.急救医疗体系建设的模式选择与发展方向[J].中国急救医学,2008,3(28):279.
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