地震后在帐篷内救治脾破裂患者的临床方法分析
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摘要
目的探讨在地震后的紧急情况下,在简易的帐篷内,救治外伤性脾破裂患者的治疗方法。方法迅速采取措施,加强组织领导,严格遵守医疗规范和常规,严格手术指征,及时地对患者进行心理辅导,因地制宜地进行病房内消毒和医疗废物管理。结果 57例患者中有2例在2年随访期间发生并发症,且该并发症仅有术后发热,其余患者均痊愈出院。结论在地震后的紧急情况下,在简易的帐篷内,严格遵守医疗规范和常规,能够显著降低外伤性脾破裂术后的并发症。
Objective To researches on treatments of saving trauma splenic rupture patience in simple tents after earthquake in emergency.Methods Taking measures quickly,strengthening management,following the medical standard and routine strictly,giving psychological advise to the patience in time,sterilizing wards and managing medical rubbishes that suit local circumstance.Results Only two out of fifty - seven patience has complicating disease which is splenic fever in hospital, all of the others had recovered.Conclusion Strictly following the medical standard and routine can obviously reduce the complicating disease after trauma splenic rupture in simple tent after earthquake in emergency.
Objective To researches on treatments of saving trauma splenic rupture patience in simple tents after earthquake in emergency.Methods Taking measures quickly,strengthening management,following the medical standard and routine strictly,giving psychological advise to the patience in time,sterilizing wards and managing medical rubbishes that suit local circumstance.Results Only two out of fifty - seven patience has complicating disease which is splenic fever in hospital, all of the others had recovered.Conclusion Strictly following the medical standard and routine can obviously reduce the complicating disease after trauma splenic rupture in simple tent after earthquake in emergency.
引文
[1]王泰信.外伤性脾破裂118例报道.中国现代医生,2007,11:51.
[2]郭景林,谭小运.震区现场实施伤员收容分类的原则与方法.国防卫生论坛,1998,7(3):7-10.
[3]张宏.成批烧伤救治的组织原则和模式的探讨.中华临床医药杂志,2003,64(10):592-593.
[4]郭景林,徐佩卿.地震伤员早期治疗机构与工作.中华医院管理杂志,1994,10(5):311.
[5]吴阶平,裘法祖.黄家骊外科学.第6版.北京:人民卫生出版社, 2002:959.
[6]朱深义,方全喜,张付华,等.外伤性脾破裂96例治疗方法的选择.中华肝胆外科杂志,2004,10(5):348.
[7]杨又力,王丽姿,高文旗.紫外线灯辐照强度监测管理中的问题.中华医院感染学杂志,2008,18(4):522-523.
[8]马兰荣,王丽姿,杨又力,等.过氧化氢与过氧乙酸气溶胶喷雾空气消毒临床观察.中华医院感染学杂志.2008,18(3):397-398.
[9]黎鳌.黎鳌烧伤学.上海:上海科技出版社,2001:27-29.
[2]郭景林,谭小运.震区现场实施伤员收容分类的原则与方法.国防卫生论坛,1998,7(3):7-10.
[3]张宏.成批烧伤救治的组织原则和模式的探讨.中华临床医药杂志,2003,64(10):592-593.
[4]郭景林,徐佩卿.地震伤员早期治疗机构与工作.中华医院管理杂志,1994,10(5):311.
[5]吴阶平,裘法祖.黄家骊外科学.第6版.北京:人民卫生出版社, 2002:959.
[6]朱深义,方全喜,张付华,等.外伤性脾破裂96例治疗方法的选择.中华肝胆外科杂志,2004,10(5):348.
[7]杨又力,王丽姿,高文旗.紫外线灯辐照强度监测管理中的问题.中华医院感染学杂志,2008,18(4):522-523.
[8]马兰荣,王丽姿,杨又力,等.过氧化氢与过氧乙酸气溶胶喷雾空气消毒临床观察.中华医院感染学杂志.2008,18(3):397-398.
[9]黎鳌.黎鳌烧伤学.上海:上海科技出版社,2001:27-29.
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