摘要
目的探讨白效的预检分诊对汶川地震伤员救治的意义。方法对绵阳市中心医院在汶川地震灾害发生后5月12日至5月25口灾后2周内大量伤员送人医院。所有伤员按伤情程度分为急危重症、中度、轻伤并分别住手腕上戴红、黄、蓝色标识带（短时间死亡者戴黑色标识带），并以此为基础决定伤员的诊治顺序。对伤员分区落实责任医师和责任护士负责诊治，完成基本检查、清创、换药、皮试后肌注TAT等。诊治过程中对每位伤员建立急诊病历，记录检查处理情况，处理时间，对需行进一步检查的歼检查单，病情较急重或需进一步住院治疗者及时与相关科室联系，立即协助完成相关检查并转送入院。结果2周内共预检分诊伤员2171人，进行急诊清创手术985人，其中1418人患者入院治疗，急诊室死亡13人。死亡病例中9人为复合伤，4人为单纯严重颅脑损伤。结论在大型灾害的救援中，有效的顶检分诊能够区分病情轻重，降低死亡比例，在保障伤员救治顺利进行中至关重要。
Objective Preview and triage is significantly important in treating a large number of the wounded patients. Method From 12 May to 25 May, 2008, 2171 wounded patients from Wenchuan Earthquake were taken to the Central Hospital of Mianyang. According to the injury degree, all the wounded were classified into severe, moderate and minor injuries, and wore red, yellow and blue label on the wrists （those who died in a short time wore black label）, respectively. Doctors and nurses carried out elementary examination, débridement, dressing change, intramuscular injection of TAT after skin test. Emergency medical records, including examination resuits and treatment time, were completed for each wounded. The severe wounded were transferred to the relevant departments or other hnspitals. Results Totally 2171 wounded were previewed and triaged, d6bridement was carfled out in 985 wounded, 1418 wounded hospitalized, 13 died in emergency room within two weeks after earthquake. Only 9 died of combined injury and 4 died of severe cerebral injury. Conclusions The preview and triage let the emergence treatment effective for a large number of earthquake patients.
出处
《中华急诊医学杂志》
CAS
CSCD
2008年第7期681-683,共3页
Chinese Journal of Emergency Medicine
关键词
汶川地震
地震灾难
预检分诊
救治
Wenchuan Earthquake
Earthquake disaster
Preview and triage
Treatment
