四川地震野战医院门诊伤病员疾病谱分析
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摘要
目的对地震灾区震后1周开始野战医院收治伤病员资料进行分析,总结地震灾区疾病谱的变化规律。方法对伤病员性别、年龄及诊断结果进行统计,计算各类伤病所占百分比,同时分析各类伤病员数的时间分布趋势。结果2331例伤病员性别比较差异无统计学意义,受伤人群年龄段集中在15~60岁人群组,有1535例(65.9%),儿童组有382例,60岁以上人群组有414例(17.7%)。排在前4位的疾病依次为:呼吸系统601例(25.8%)、外科586例(24.9%)、皮肤科疾病295例(12.7%)及其他243例(10.4%)。地震1周后内科收治人数超过外科伤病员数。结论地震发生后应根据疾病谱合理配置人员、物资等,以提高救治效果并减少医疗资源的浪费。
Objective To investigate the data of the patients admitted to field hospital one week after the earthquake,and to analyze the regularity of diseases spectrum in Wenchuan earthquake. Methods Sex, age and diagnosis result of the patients were collected and the percentage of diseases was respectively calculated. The tendencies of time distribution of patients were also analyzed. Results Sex differences of patients were not obvious in a total of 2331 cases. 1535(65.9%)cases was 15~60 years old,which were significantly higher than other groups, 382 (16.4%) cases was 0~14 years old, 414(17.7%) cases was over 60 years old. The top 4 diseases consisted of respiratory system 601 (25.8%), trauma ( fracture, wound or injury) 586 (24.9%), dermatology system 295 (12.7%) and others 243(10.4%). The amount of internal medicine patients exceeded that of surgery. Conclusions The reasonable allocations of medical personnel and drugs after earthquake may improve the remedy results and to prevent the waste of medical resource during future disasters.
Objective To investigate the data of the patients admitted to field hospital one week after the earthquake,and to analyze the regularity of diseases spectrum in Wenchuan earthquake. Methods Sex, age and diagnosis result of the patients were collected and the percentage of diseases was respectively calculated. The tendencies of time distribution of patients were also analyzed. Results Sex differences of patients were not obvious in a total of 2331 cases. 1535(65.9%)cases was 15~60 years old,which were significantly higher than other groups, 382 (16.4%) cases was 0~14 years old, 414(17.7%) cases was over 60 years old. The top 4 diseases consisted of respiratory system 601 (25.8%), trauma ( fracture, wound or injury) 586 (24.9%), dermatology system 295 (12.7%) and others 243(10.4%). The amount of internal medicine patients exceeded that of surgery. Conclusions The reasonable allocations of medical personnel and drugs after earthquake may improve the remedy results and to prevent the waste of medical resource during future disasters.
引文
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9Conly J,Johnston B.Natural disasters,corpses and the risk of infec-tious diseases[J].Can J Infect Dis Med Microbiol,2005,16(5):269-270.
10刘庆,侯世科,郑静晨,等.援外地震救援中流动医院危重患者救治分析[J].武警医学,2006,17(10):786-787.
2David E.Hogan,Jonathan L.Burstein.Disaster medicine[M].Lippincott Williams&Wilkins press,2003:8.
3何忠杰.白金10分钟———论现代抢救时间新观念与研究研究[J].中国急救医学,2004,24(10):745-746.
4何忠杰马俊勋.把握战创伤急救的时效性[J].世界急危重病医学,2004,3(5):1444.
5彭碧波,全青英,杨造成.印尼日惹地震救援中流动医院疾病谱分析[J].武警医学,2006,17(10):785-786.
6刘云兵,王羽,林红.四川地震灾区药品使用分析及其意义[J].中国急救医学,2008,28(6):513-514.
7徐家相.地震灾害的紧急医疗救援[J].中华急诊医学杂志,2005,14(7):557-558.
8Watts J.China's health challenges after the earthquake[J].Lancet,2008,371(9627):1825-1826.
9Conly J,Johnston B.Natural disasters,corpses and the risk of infec-tious diseases[J].Can J Infect Dis Med Microbiol,2005,16(5):269-270.
10刘庆,侯世科,郑静晨,等.援外地震救援中流动医院危重患者救治分析[J].武警医学,2006,17(10):786-787.
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