【摘要】 目的总结5.12汶川地震伤员的流行病学特点及伤员收容和医疗救治特点。方法通过病案查阅及调查问卷等方法,回顾成都军区总医院2008年5月12日-28日救治的1 070例地震伤员临床流行病学特点、震后伤员就诊时间分布特点以及入院后救治措施和患者预后等。结果震后48h内入院人数达692例,占入院总数的64.7%。骨科伤员710例,占总伤员数的66.4%,其中最常见的为四肢骨折(371,34.7%)、软组织伤(191,17.9%)、脊柱骨折(122,11.4%)、骨盆骨折(49,4.6%)及挤压综合征(CS)(17,1.6%)。1 070例中死亡5例(0.5%),其中挤压综合征3例,腹部损伤伴失血性休克1例,地震相关非创伤性疾病(心肌梗死)1例。结论地震伤员中骨科伤为最主要伤型;地震后24-48h运送至医院就诊的伤员最多。挤压综合征患者死亡率较高。更多还原

【Abstract】 Objective To summarize the epidemiologic characteristics of sick and wounded persons after Wenchuan earthquake on may 12,2008,and their medical treatment in General Hospital of Chengdu Military Area Command.Methods Epidemiologic characteristics of 1 070 sick and wounded persons admitted to General Hospital of Chengdu Military Area Command in May 12-28,2008,after Wenchuan earthquake,the distribution characteristics of their visiting time,and their treatment and prognosis,were retrospectively analyzed by reading their medical records and investigating with questionnaires.Results Six hundred and ninety-two sick and wounded persons were admitted to General Hospital of Chengdu Military Area Command 48h after Wenchuan earthquake,accounting for 64.7% of the total 1 070 admitted sick and wounded persons.Of the 1 070 sick and wounded persons,710(66.4%) were admitted to Department of Orthopedics.The most frequent injuries were extremity fractures(34.7%),soft tissue injuries(17.9%),spinal fractures(11.4%),pelvic fractures(4.6%) and crush syndrome(1.6%).Of the 5 sick and wounded persons who died(0.5%),3 died of crush syndrome,1 died of abdominal injury accompanying hemorrhagic shock,and 1 died of earthquake-related cardiac infarction,a non-traumatic disease.Conclusion Bone injury is the most common trauma occurred in earthquake.The number of sick and wounded persons sent to hospitals is the greatest 24-48h after earthquake.The mortality rate of crush syndrome patients is rather high.更多还原