“5.12”汶川大地震伤员的分检流程探讨
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摘要
目的探讨汶川大地震发生后接诊伤员的特点及分检流程,为建立在大型灾害事件中的分检处理流程,及时合理配置医疗资源,启动应急预案,提高医疗救援水平提供思路。方法以四川大学华西医院在地震发生后不同时段接收的伤员的诊治信息数据为基本资料,对不同时段因伤员特点不同而发生的分检流程变化进行综合分析。结果不同时段地震伤员的伤情特点发生改变,根据急诊人数及病情的变化急诊流程也随之改变。结论在大型灾难事件发生后,应对灾害程度迅速做出判断,确定分检流程,合理配置医疗资源,从而提高医疗救援水平及效果。
[Objective] To investigate the characteristics and the respectively managing flow-sheet of the wounded after Wenchuan megaseism and provide a notion for establishing the respectively managing flow-sheet in large disaster, allocating medical resources promptly and appropriately, initiating emergency scheme and improving the medical relief level. [Methods] On the basis of the data of the wounded patients who were diagnosed and treated in Huaxi Hospital of Sichuan University in different periods after Wenchuan megaseism, the changes of the respectively managing flow-sheet owing to the different characteristics of the wounded in different periods were analyzed synthetically. [Results] There were different characteristics of traumatic condition in different periods after Wenchuan megaseism. Emergency flow-sheet altered with the changing number of emergency patients and their condition.[Conclusion] After a large disaster occur, its severity should be rapidly estimated and the respectively managing flow-sheet should be determined so as to allocate medical resources appropriately and improve the medical relief level and effect.
[Objective] To investigate the characteristics and the respectively managing flow-sheet of the wounded after Wenchuan megaseism and provide a notion for establishing the respectively managing flow-sheet in large disaster, allocating medical resources promptly and appropriately, initiating emergency scheme and improving the medical relief level. [Methods] On the basis of the data of the wounded patients who were diagnosed and treated in Huaxi Hospital of Sichuan University in different periods after Wenchuan megaseism, the changes of the respectively managing flow-sheet owing to the different characteristics of the wounded in different periods were analyzed synthetically. [Results] There were different characteristics of traumatic condition in different periods after Wenchuan megaseism. Emergency flow-sheet altered with the changing number of emergency patients and their condition.[Conclusion] After a large disaster occur, its severity should be rapidly estimated and the respectively managing flow-sheet should be determined so as to allocate medical resources appropriately and improve the medical relief level and effect.
引文
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[2]刘少忠,王守安.张北、尚义地区抗震救灾卫勤保障工作的难点与对策[J].国防卫生论坛,1998,7(22):8.[2]LIU SZ,WANG SA.Difficulties and strategies of resisting the disaster from the earthquake in Zhangbei and Shangyi regions and ensuring medical service[J].Forum of National Defense and Medical Science,1998,7(22):8.Chinese
[3]CHAN YF,ALAGAPPAN K.Disaster management following the Chi-Chi earthquake in Taiwan[J].Prehosp Disaster Med,2006,21(3):196-202.
[4]季庆,宋杰,赵倩,等.重型颅脑损伤合并创伤性湿肺的临床治疗[J].中国现代医学杂志,2007,17(7):877-878,882.[4]JI Q,SONG J,ZHAO Q,et al.Clinical comprehensive treatment of severe traumatic brain injury with wet lung in52cases[J].China Journal of Modern Medicine,2007,17(7):877-878,882.Chinese
[5]邵立新,沈伯明,金炜,等.重症胸外伤合并多器官功能失常的临床特点和救治[J].中国现代医学杂志,2006,16(20):3162-3164.[5]SHAO LX,SHEN BM,JIN W,et al.Characteristics and emer-gency treatment of multiple organ disorder syndrome following severe thoracic trauma[J].China Journal of Modern Medicine,2006,16(19):3162-3164.Chinese
[6]VANHOLDER R,SEVER MS,EREK E,et al.Acute renal fail-ure related to crush syndrome:towards an era of seismo-nephrol-ogy[J].Nephrol Dial Transplant,2000,15:1517-1521.
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