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汶川地震后方医院救治的患者病情特点及治疗对策

Characteristics of Wenchuan earthquake casualties in rear hospital and treatments

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【作者】 吴梅祥钱东阳白波吴景明刘琦余楠生

【Author】 WU Meixiang, QIAN Dongyang, BAI Bo, WU Jingming, LIU Qi, YU Nansheng (Department of Surgery, the First Affiliated Hospital of Guangzhou Medical College, Guangzhou 510120, China)

【机构】 广州医学院第一附属医院骨外科

【摘要】 目的:探讨地震后送伤员病情特点及在后方医院救治经验。方法:对陆续收治的20例骨科地震伤员的病情特点和救治工作进行回顾性分析,其中,对1例严重的骨盆骨折复合伤和2例脊柱骨折复合伤患者采用损害控制外科技术治疗。结果:后送伤员病情复杂,漏诊率较高;经多科室通力合作、积极救治和采用损害控制外科手术,所有伤员恢复满意,无严重并发症发生,骨折患者解剖复位和功能复位达97%。结论:通过多科室密切合作、个性化治疗方案和护理方法的实施、骨科损害控制理念的运用以及加强心理干预和鼓励早期功能锻炼,可以减少并发症的发生率。

【Abstract】 Objective:To discuss treatment experiences and the characteristics of Wenchuan earthquake casualties transferred to rear hospital. Methods: A retrospective study was conducted on the 20 casualties transferred to the First Affiliated Hospital of Guangzhou Medical College for further treatment. The damage control strategy was practiced in 1 case of complicated pelvic fracture and 2 cases of spine fractures. Results: All the 20 cases were cured and no severe complication was occurred by active treatment. The rate of anatomic reduction and functional reduction was add up to 97%. Conclusion: Fine and efficient treatment with the close cooperation of multi-department can increase the curing rate and reduce the death and disability rates.

【关键词】 地震治疗损害控制
【Key words】 EarthquakeTreatmentDamage control strategy
  • 【文献出处】 中国医药导报 ,China Medical Herald , 编辑部邮箱 ,2009年16期
  • 【分类号】R64
  • 【被引频次】4
  • 【下载频次】36
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