Experience on rescue of patients with severe multiple injuries after sudden disaster under field condition
【Abstract】 Objective:To study the rescue strategy for patients with severe multiple injuries after sudden disaster under field condition.Methods and results:A 53-year-old female patient was referred to us after hit on the pelvis in the China Wenchuan earthquake.Her symptoms included large volume of hematuria,difficult breath,tenderness of the whole abdomen,and bedsore. Portable B ultrasound revealed effusion of abdomen and left chest cavity,and bladder rupture.Portable blood-gas analyzer indicated severe anemia+hypoxemia+hypokalemia+acidosis.Drainage was done through left chest cavity aspiration and bladder aspiration. Abdominal examination found rectal rupture(perforation),which was managed by Harttman+cystostomy followed by anti-infection treatment.The patient recovered 18 days after operation.Conclusion:The rich experience and skillful surgical management,the full play of portable equipment,the help from the local hospital,together with timely anti-infection management,are the keys to successful rescue of patients with severe multiple injuries under field condition.
- 【文献出处】 第二军医大学学报 ,Academic Journal of Second Military Medical University , 编辑部邮箱 ,2008年06期