摘要
目的分析第三军区大学西南医院医疗队在“5·12”汶川地震震中区映秀镇大批量伤员的检伤救治与后送转运工作，探讨地震灾害现场大批量伤员的医疗救援模式。方法结合映秀镇救援现场实际，根据CRASHPLAN原则将救治区分为检伤分类区、轻伤区、重伤区和后送区。医疗队工作分组分区实施，检伤、治疗和后送在统一协调下展开。结果到达后的3d时间内，医疗队共计分类救治批量伤员415例，其中危重伤员251例，行清创手术153例次，紧急骨筋膜室切开减压术12例次，直升机空运后送伤员317例。救治工作有序高效，所有伤员在救治过程和后送途中无一例死亡。结论根据现场救治能力和医疗资源情况科学地把握检伤分类后送原则和分级救治原则，对地震灾害大批量伤员的医疗救援具有特别重要的意义。
Objective To address medical relief algorithm in earthquake center by analyzing triage and transfer of casualties in the quake-hit center Yingxiu town in the wake of the 5·12 Wenchuan earthquake. Method According to the actual hard working conditions and role of CRASHPLAN, the locale was devided into triage area, minor wounds area, severe wounds area and transfer area. Medical team coming from Southwest Hospital, the Third Military Medical University was devided into several groups. Triage, treatment and transfer of casualties well arranged. Results A total of 415 victims was treated by our medical team in early three days. Of these victims, 251 were severe injuried, 153 were debrided, 12 were decompression with cutting open the wound because of their oseofascial compartment syndrome, and 317 casualties were transfered by helicopters. No victim died during treatment and transfer at quake-stricken region.The whole work was proceeded in good order and efficiently. Condusions Triage and transfer of casualties scientifically allowing for the capability of medical relief and the sufficiency of medical resources are very important to deal with batches of casualties in quake-stricken region.
出处
《中华急诊医学杂志》
CAS
CSCD
2008年第9期904-906,共3页
Chinese Journal of Emergency Medicine
关键词
地震
批量伤员
分类
救治
后送
Earthquake
Batch of casualties
Triage
Rescue
Evacuation
