摘要
[目的]总结汶川地震转运骨科伤员的临床特点和救治经验。[方法]对本科自2008年5月13日-2008年6月10日收治的129例汶川地震转运骨科伤员进行检伤分类,记录内容主要包括:转运人次,患者的主诉,诊断,损伤部位及类型,是否伴有感染以及接诊后的处理,治疗效果等。[结果]129例伤员中,骨折伤员95例,其中开放性骨折35例51处,闭合性骨折60例139处;26例(20.2%)39条神经损伤;54例(31.8%)并发感染;有110例伤员行手术治疗;所有伤员无死亡病例,1例院外截肢伤员因残端感染严重而行多次残端清创、修整;开放性损伤伤员除2例截止发稿时伤口未愈合外,其余病例伤口均愈合;无术后切口感染。[结论]汶川地震转运骨科伤员的临床特点明显,必须根据其临床特点予以个体化救治,同时要积极防治相关并发症,以降低伤员死亡率和致残率。
[ Objective] To summarize the clinical characteristics and the treatment experience of the patients from Wenchuan earthquake area. [Method]Totally 129 patients injuried in the 5.12 Wenchuan earthquake from May 13 to June 10,2008 were admitted in this hospital. The recording content included chief complaints, diagnosis, damage locations and types, whether with infection or not, treatment, efficacy and so on. [ Result] There were 95 fracture cases which included 35 open fracture with 51 fracture sites,60 closed fracture cases with 139 fracture sites;39 associated neural injuries in 26 patients （20.2%） ;54 cases of infection （31.8 % ） ;110 cases had operations. There was no death case, but one outside hospital amputation patient had multiple stump debridement and trimming due to severe infection. All open fracture cases were healing except 2 cases until now, no case with in- fection after operation. [ Conclusion] The clinical characteristics of the patients being evacuated from Wenchuan earthquake are outstanding,it need individualized remedy according to the clinical characteristics and we should prevent and cure correlate complications positively in order to depress the fatality and disabihty rate.
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2008年第20期1525-1527,共3页
Orthopedic Journal of China
关键词
地震
骨科
伤员
转运
治疗
earthquake
orthopedics
patient
transfer
treatment
