【摘要】 目的分析该院收治1268例地震伤病员疾病的临床分布特点,为今后地震灾害的医学救援提供参考。方法整理该院救治1268例地震伤病员的临床资料,对伤病员一般情况及具体伤情进行分析。结果1268例患者中,男667例(52.6%),女601例(47.4%);60岁以上和20岁以下伤病员462例(36.4%);震后前3天入院803例(63.3%);外伤/伤口类患者1229例(96.92%),涉及骨科治疗929例(73.27%);按ISS评分,外伤/伤口类患者中,重度以上损伤568例(46.22%),并发休克25例(2.03%),发生筋膜间隙综合征25例(2.03%),挤压综合征并急性肾功能衰竭8例(0.63%),气性坏疽1例(0.08%),死亡10例(0.81%)。结论此次地震伤病员的数量大,送达时间集中,损伤程度重,重伤及复合伤患者多,绝大部分患者涉及骨科处理。更多还原

【Abstract】 【Objectives】To analyze the clinical distribution of 1 268 cases hospitalized sick or wounded in the earthquake,and provide medical information for the earthquake disaster relief in the future. 【Methods】We reviewed the clinical data of 1 268 cases remedied by our hospital after the earthquake,and analyzed the general con-ditions and traumatic conditions of them.【Results】Among all of the 1 268 cases,667 cases (52.6%) were male and 601 cases (47.4%) were female,462 cases (36.4%) were over 60 years old or under the age of 20; 803 cases (63.3%) were admitted among the first 3 days after the earthquake; 1229 cases (96.92%) belonged to Trauma/wound category; 929 cases (73.27%) were involved in orthopaedic treatment. Among the 1 229 Trauma/wound cases,according to ISS score,568 cases (46.22%) were injured seriously,25 cases (2.03%) were complicated with shock,25 cases (2.03%) were complicated with compartment syndrome,8 cases (0.63%) were complicated with compression syndrome and acute renal failure,1 case(0.08%) was complicated with clostridial myonecrosis,10 cases (0.81%) were died in hospital.【Conclusion】The number of patients after Wenchuan earthquake was large,and these patients mainly admitted among the first 3 days,injured seriously,many of them were macrotrauma or multitrauma,almost all of them were involved in orthopedic treatment.更多还原