【摘要】 目的:探讨地震灾害医院内死亡病例的总体特征与影响因素。方法:分析汶川地震绵阳震区地震死亡病例资料,调查其相关问题与可能原因。结果:诊断依据主要依靠典型症状体征(模糊定性法)。69.86%死亡病例无确定诊断,调查分析多为多发伤(胸腹部损伤)、休克、循环呼吸衰竭;有明确死亡诊断的病例以脑外伤最多。地震后24小时内死亡561例,占死亡病例的66.31%;98%死于救出后24 h内转运途中或急诊室、ICU。结论:灾害事故的医疗救援中,严重伤伤员中救治力量严重不足,死亡率高;提高现场救治力度是最佳选择,但依赖于高效的运输能力和大量具有独立工作能力现场医疗救援队。更多还原

【Abstract】 Objective:To explore the overall characteristics and relevant reasons of death of the earthquake casualties in Mianyang earthquake zone after Wenchuan earthquake.Methods:The data of dead casualties in Mianyang earthquake zone after Wenchuan earth-quake were reviewed retrospectively.Results:Because of the serious damage of locate hospital and mass casualties,the medical treatment relied on backward hospitals,so that the mass serious casualties were dead in the way of transport or in emergency room.Conclusion:To reduce the mortality,the mobile hospitals having independently working capability should be built up,and the transport capability should be improved.更多还原