【摘要】 目的总结汶川地震中群体多发伤患者的救治经验。方法回顾性分析2008年5月12日~31日我院收治的454例地震多发伤患者临床资料。结果所有伤员中,气管插管或气管切开57例,胸腔闭式引流71例,急诊手术213例,死亡37例,死亡率8.1%。其中失血性或(和)创伤性休克29例,特重型颅脑伤12例、多器官功能衰竭2例。结论地震群体多发伤的特点是:伤员多而集中,伤情重而复杂,需要全体动员,统一组织,诊治小组迅速初诊、分流,重点抢救,注意多发伤的抢救处理重点和先后顺序,积极防治并发症,防止漏诊和误诊,才能最大程度的挽救生命,降低死亡率和致残率。更多还原

【Abstract】 Objective To summarize the treatment experiences of the group multiple trauma patients injured in Wenchuan earthquake.Methods The 454 cases,hospitalized in our hospital from May 12 to May 31,2008,were retrospectively analyzed.Results In 454 cases,57 cases were performed by tracheal intubation or tracheotomy,71 cases by thoracic close drainage,213 cases by emergency surgery.Among all of those patients,37 cases died,and the mortality was 8.1%,among whom,30 cases died within 8hours and 7cases died after 8hours.And 29 cases died of traumatic or hemorrhagic shock,12 cases extra severe traumatic brain injury,2 cases multiple organ failure.Conclusion The characteristics of the group multiple trauma patients injured in earthquake are that the wounded are mass and concentrated,and the injury condition is serious and complicated.Unified command,treatment of the wounded according to the technical principles at divisional levels,active precaution and treatment of complication,and effective prevention of missed diagnosis and mis-diagnosis,are important measures to reduce the casualty and disability.更多还原