汶川地震69例骨科伤员的病情特点及救治对策
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摘要
目的探讨汶川地震后送伤员四肢和脊柱骨折的病情特点及救治对策。方法回顾性研究我科2008年5月17日~2008年6月25日收治的汶川地震伤员69例,其中肋骨骨折9例,锁骨骨折5例,四肢骨折58例,骨盆骨折7例,颈椎骨折1例,胸椎骨折1例,腰椎骨折11例,截肢术后5例,采用分类检伤,损害控制,分次手术等方法积极救治。结果全部病例均得到及时准确的救治,无死亡、无院内感染、无内固定松动及断裂等并发症发生。结论地震后送伤员,病情复杂,伤口污染程度高,应分类检伤,采用损害控制,后期专科手术的救治。
ObjectiveTo investigate the characteristics and clinical treatment for patients with extremity fractures or spinal fractures after Wenchuan earthquake.MethodsFrom May 17 2008 to June 25 2008,69 patients injured in Wenchuan earthquake were treated in our department,including 9 rib fractures,5 clavicle fractures,58 extremity fractures,7 pelvic fractures and 13 spinal fractures.ResultsAll of 30 patients were treated with accurate methods.No death,nosocomial infection,internal-fixation loosening or breakage was found.ConclusionThe characteristics of patients after Wenchuan earthquake are very complicated.We shoud classify the injury and use the damage control technology to treat the patients.When the condition of patient is good,we then select the special operative treatment.
ObjectiveTo investigate the characteristics and clinical treatment for patients with extremity fractures or spinal fractures after Wenchuan earthquake.MethodsFrom May 17 2008 to June 25 2008,69 patients injured in Wenchuan earthquake were treated in our department,including 9 rib fractures,5 clavicle fractures,58 extremity fractures,7 pelvic fractures and 13 spinal fractures.ResultsAll of 30 patients were treated with accurate methods.No death,nosocomial infection,internal-fixation loosening or breakage was found.ConclusionThe characteristics of patients after Wenchuan earthquake are very complicated.We shoud classify the injury and use the damage control technology to treat the patients.When the condition of patient is good,we then select the special operative treatment.
引文
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[10]董惠娟,李小军,杜满庆,等.地震灾害心理伤害的相关问题研究[J].自然灾害学报,2007,16(1):153-158.
[11]刘满合.唐山地震25年截瘫病人死亡原因调查与分析[J].伤残医学杂志,2001,9(4):50-51.
[2]孙志刚.地震灾害医疗救援的特点及误区[J].医学与社会,2003,16(5):7-8.
[3]王爱民,孙红振,杜全印,等.骨关节型严重多发伤的损害控制治疗[J].中华创伤杂志,2007,23(2):143-146.
[4]唐甫斌,浦金辉,张璧,等.地震伤员的处理原则[J].创伤外科杂志,2007,9(3):210.
[5]王爱民,孙红振,杜全印,等.损害控制救治地震灾区严重多发伤[J].中华创伤骨科杂志,2008,10(6):507-509.
[6]张英泽,孔志刚,王锡民,等.张北地震灾区骨科伤员救治经验与教训[J].中国骨伤,2000,13(7):400.
[7]王明新,汪茜,匡正达,等.印尼日惹地震救援中骨折患者手术治疗的研究和探讨[J].武警医学,2006,17(10):790-791.
[8]Tahmasebi MN,Kiani K,Mazlouman SJ,et al.Musculoskel-etal injuries associated with earthquake a report of injuriesof Iran's December 26,2003 Bam earthquake casualtiesmanaged in tertiary referral centers[J].Injury,2005,36(1):27-32.
[9]Roy N,Shah H,Patel V,et al.Surgical and psychosocialoutcomes in the rural injured:a follow-up study of the2001 earthquake victims[J].Injury,2005,36(8):927-934.
[10]董惠娟,李小军,杜满庆,等.地震灾害心理伤害的相关问题研究[J].自然灾害学报,2007,16(1):153-158.
[11]刘满合.唐山地震25年截瘫病人死亡原因调查与分析[J].伤残医学杂志,2001,9(4):50-51.
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