首页 | 本学科首页   官方微博 | 高级检索  
相似文献
 共查询到20条相似文献,搜索用时 125 毫秒
1.
1268例汶川地震住院伤病员疾病谱分析   总被引:3,自引:0,他引:3  
目的 分析该院收治1 268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1 268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 1 268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1 229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.  相似文献   

2.
重症胸外伤93例救治体会   总被引:1,自引:0,他引:1  
目的探讨重症胸外伤的救治方法。方法利用回顾性分析方法对该院近5年来救治的93例重症胸外伤病例资料进行总结分析。治疗采用胸部护板固定、胸腔穿刺、胸腔闭式引流、剖胸探查、肋骨骨折复位肋骨钛板固定、损伤脏器修补或切除、纤维支气管镜吸痰,气管切开及呼吸机辅助呼吸等方法治疗重症胸外伤及其并发症。结果该组93例重症胸外伤中,治愈91例(98%),死亡2例(2%)。其中死于合并重型颅脑伤1例,死于合并心脏刀刺伤1例。结论重症胸外伤的治疗重在早期诊断、早期治疗,正确掌握机械辅助通气及气管切开时机,并及时处理多发伤和休克等是救治重症胸外伤成功的关键。  相似文献   

3.
倪健 《海军医学杂志》2008,29(2):140-141
战时海上伤病员数量大,伤病种类复杂,伤病轻重不同,救治力量有限,救治时间紧迫。因此,存在救治需要与救治能力之间的矛盾,重伤病员与轻伤病员之间、部分伤员与全体伤员之间的矛盾。为了解决这些矛盾,保证每个伤病员在各级救治机构得到及时合理的救治和后送,快速检伤、分类极为重要。由于受场地及医护人员人数影响,大批伤员抵达检伤、  相似文献   

4.
目的:探讨重症颅脑外伤抢救的特点。方法:对近2年来经手术治疗的重症颅脑外伤病员81例的临床资料进行分析。结果:21~60岁中青年患者重症颅脑外伤的发病率最高,车祸是第1位致病因素,急性硬膜下血肿清除术+去骨瓣减压术53例,占65.4%,是最多的手术类型,81例中白细胞计数升高62例,死亡26例中白细胞升高25例,有显著性差异。结论:重症颅脑外伤病情危重,把握手术时机、选择手术类型、动态观察病情变化、及时发现迟发颅内血肿或血肿扩大、决定手术措施、加强术后监护、保持呼吸道通畅、注意患者中枢性电解质紊乱等措施,是成功抢救重症颅脑外伤病员的重要环节。  相似文献   

5.
目的:探讨重度颅脑损伤合并有胸腹部外伤或四肢骨折病人的救治经验,提高救治效果,降低死亡率。方法:总结分析96例复合性颅脑损伤手术病人,其中合并胸外伤29例;合并腹外伤9例;合并骨折病人36例;合并胸腹联合伤5例;合并胸外伤及骨折病人13例;合并腹外伤及骨折病人4例。结果:治愈96例,死亡12例,死亡率12.5%。结论:患者受伤后及时实施院前急救保障生命通道,入院后快速明确诊断病情,建立积极的急救措施,把握适宜的手术时机,正确有效的综合治疗及术后正确护理是救治的关键。  相似文献   

6.
机械通气治疗重症手足口病合并急性肺水肿10例临床分析   总被引:8,自引:0,他引:8  
随素敏  都鹏飞 《安徽医学》2009,30(3):260-261
目的探讨人工机械通气在救治小儿重症手足口病合并急性肺水肿中的作用。方法对10例重症手足口病合并急性肺水肿患儿早期应用人工机械通气治疗。结果治愈4例,好转4例,死亡2例。结论早期发现病情变化,及早行机械通气治疗可明显提高手足口病合并肺水肿的抢救成功率。  相似文献   

7.
地震灾难伤员检伤分类系统设计与实现   总被引:1,自引:1,他引:1  
张渝  李初民  王放 《重庆医学》2008,37(21):2403-2404
目的 根据地震灾难伤员救援特点,利用信息化检伤分类,加快地震伤员救援.方法 从实际地震伤员检伤分类标准和分类方式出发,设计PDA地震灾难检伤分类系统.结果 地震灾难检伤分类系统加快了治疗进程,更多地挽救了伤员生命.结论 地震灾难检伤分类系统能有效提高地震救治工作效率,为重大灾难信息化检伤分类提供了一个可供参考的实例.  相似文献   

8.
刘纪宁  杨雍  王才宏  黄彬 《西部医学》2017,29(12):1691-1693
【摘要】目的 探讨有效及时的检伤和后送转运对地震伤员救治的意义。 方法 对绵阳市中心医院医疗救援队在九寨沟“88”地震发生后8月9日 8月11日对地震伤员的检伤、救治、后送转运、进一步住院诊治的情况进行总结分析。结果 绵阳市中心医院医疗救援队在地震现场协同震区医院检伤、转运伤员17人,检伤巡诊伤员122人,手术5人;组织协同后送转运伤员到绵阳市中心医院四批次共48人,共收治入院伤员47人,手术24人,未发生任何医疗差错,截止8月20日已有6人经治疗后康复出院,另外42人经手术及相关救治后病情稳定恢复中。后送转运及转运后的救治中做到了零死亡。结论 在地震等大型灾害的救援中,有效及时的检伤和后送转运对伤员救治至关重要。  相似文献   

9.
目的:总结笔者所在医院胸部外伤致休克的临床救治经验。方法:对笔者所在医院2004年2月-2010年2月收治的25例胸部外伤致休克患者的临床诊治资料进行回顾性整理分析。结果:所有患者治愈24例,死亡1例,治愈率96.00%,其中死亡患者因重症胸部创伤并发急性呼吸窘迫综合征(ARDS)引发。结论:早期诊断、及时治疗是胸部外伤致休克救治成功的关键。  相似文献   

10.
谭政源 《中外医疗》2012,31(1):29-30
目的机械通气诊治急性重症急性肺水肿的临床疗效观察。方法本医院选取2006年6月至2011年6月急诊科确诊为急性肺水肿128例(男84例,女44例),年龄47~78岁,平均年龄(63.1±5.4)岁,通气前及通气后2h及24h动脉血气分析。结果 128例患者中104例(81.3%)病情好转,均于30min~2h内紫绀消失,心悸、气促、呼吸困难症状明显改善,肺部啰音明显减少(减少到1/2肺野以下)或消失,意识模糊者神志转清,24h后病情趋向稳定。16例(12.5%)死亡,其中12例死于大面积心梗合并心源性休克,4例死于心脏骤停,4例感染性心内膜炎合并二尖瓣脱垂症状好转后因经济困难放弃治疗,出院后第4天死亡,治疗前及治疗后2h及24h呼吸、心率、血压的变化及血气分析均有明显改善。结论对于重症急性肺水肿及早期采用机械通气能够迅速改善此类患者症状和心肺功能,阻断进行性恶化的心功能状态及血液动力学障碍,是抢救重症肺水肿的一种行之有效的方法。  相似文献   

11.
12.
脊髓损伤为主的全身多发伤相关因素研究   总被引:2,自引:0,他引:2  
目的 分析因不同原因所致创伤性脊髓损伤合并其他多器官损伤的特点,了解以脊髓损伤为主的全身多发伤的受伤模式和相关因素,总结此类损伤的处理要点。方法 回顾性总结了1996年8月至2002年7月间收治的132例包含脊髓损伤的全身多发伤的临床资料,分析伤者的年龄分布,受伤原因,合并伤情况,脊髓损伤的主要节段和程度,处理方式,以及临床后果。结果 本组132例伤者中,男性94例,女性38例。年龄14~65岁,以青壮年为主。最主要的致伤原因是车祸,占62%,其次为坠落伤,占24.5%。最常见的合并伤是四肢创伤(约51.5%),其次为头伤(约32%)和胸伤(约30%)。脊髓损伤的主要节段发生在C1-2,C6-T1,T6-T8和T12-L1。合并伤越重,后果越差,本组共死亡34例(约为26%),主要死因是呼吸系统并发症导致呼吸衰竭和重型颅脑损伤。完全性脊髓损伤者神经功能无明显恢复,不完全脊髓损伤者中有41例(约54%)经治疗后按ASIA标准可恢复Ⅰ级以上。结论 合并伤对创伤性脊髓损伤的治疗和预后都有重要的影响,了解以脊髓损伤为主的全身多发伤的受伤模式和临床后果有助于早期判断和处理这类复杂的多发创伤,也对制定有关安全防护措施有参考意义。  相似文献   

13.
OBJECTIVE: To determine the pattern and characteristics of patients admitted with firearm injuries (FAIs) and establish the morbidity and mortality associated with these injuries. DESIGN: Retrospective cross-sectional study. SETTING: Kenyatta National Hospital (KNH), January 2004 to December 2005. SUBJECTS: All patients admitted with physically evident firearm injury. RESULTS: There were a total of 717 patients recorded with FAIs constituting 0.6% of the total number of patients seen in the casualty. Of these, 421 (58.7%) were admitted and treated as in- patients. A firearm was used in 6.7% of the 6300 assault cases recorded in 2004 and in 9.7% of the 3079 cases recorded in 2005. The increase from 6.7% in 2004 to 9.7% in 2005 was statistically significant (p < 0.05). There were 370 (87.9%) males and 49 (11.6%) females giving a male to female ratio of 7.5:1. The mean age was 29.7 +/- 10.9 years with a range of 3 to 66 years. At least 262 (62.2%) of the 421 admitted FAI casualties were treated under general anaesthesia (GA). The average duration of operation per patient was 2 +/- 1.5 hours. CONCLUSION: FAIs are on the increase and affect all age groups but is largely a disease of a young male adult in the 3rd and 4th decade of life. Mortality is higher with increasing age while female victims are fewer but on average six years younger than males. The lower extremities are the commonest target among the survivors. However, abdominal wounds tend to be the most lethal, accounting for greater mortality.  相似文献   

14.
A retrospective study was conducted to determine the incidence of nerve injuries in anterior dislocations of the shoulder and to determine if a neurological examination is routinely performed in such cases. One hundred and fifteen shoulder dislocations in 100 patients (74 males, 26 females; mean age 35+/-18 years) were reviewed. Eighty-seven patients were examined for neurological injuries prior to reduction and 8 of these patients (9.2%) were found to have sustained neurological injuries. Following reduction, neurological examination was performed in 85 patients. Three patients who were not examined initially prior to reduction were subsequently found to have nerve injuries after reduction. Seven patients (7%) were not examined for neurological injury both before and after reduction of the dislocation. Eleven patients were found to have sustained nerve injuries in the final analysis. Axillary nerve injuries were the most common, occurring in 8 patients. In conclusion, nerve injuries are common in shoulder dislocations. The importance of performing and documenting the findings of neurological examination anterior shoulder dislocations needs to be reiterated.  相似文献   

15.
2004~2007年深圳市宝安区伤害流行病学特征分析   总被引:2,自引:0,他引:2  
目的探讨伤害流行特征,为开展伤害预防干预提供依据。方法采用描述性研究方法,以2004—2007年深圳市宝安区医院急诊伤害监测点伤害患者为研究对象。分析急诊患者年龄、性别、职业和伤害类型、原因、发生地点和伤害发生时的活动。结果伤害病例数呈逐年上升趋势,伤害病例人次数男高于女,2004~2005年以儿童伤害为主,2006—2007年以工人职业伤害为主。结论深圳宝安区伤害由儿童伤害为主过渡到以工人的职业伤害为主,职业伤害成为一个严重的公共卫生问题,是当前宝安区预防伤害优先干预的领域。  相似文献   

16.
INTRODUCTION: The diagnosis of trans-anal rectal injuries is usually delayed because of the patient's denial. Some of these injuries are self-inflicted or caused by criminal assault, leading to delayed presentation. We aimed to study the causes, clinical presentation, management and clinical outcome of transanal rectal injuries. METHODS: The records of 12 patients (nine males) with a median age of 36.5 (range 20-64) years, had trans-anal rectal injury and were treated between 1993 and 2006 at Al-Ain Hospital, were reviewed. RESULTS: Injury was caused by a fall on a sharp object in five patients, by a rectal foreign body in two patients, by a compressed air hose in two patients, by sexual assault in two patients, and by rectal cleansing enema in one patient. Seven patients presented two hours after the injury, four patients within 8-24 hours, and one sexually-assaulted patient presented after seven days. Injuries were in the anterior rectal wall in seven, in the rectosigmoid junction in three, and in the anorectal region in two patients. Ten patients presented with peritonitis, four were in shock, seven had bleeding per rectum, and two had a weak sphincter. The complication rate was significantly higher in the colostomy patients compared with primary repair (5/6 compared with 0/6, p-value is less than 0.02, Fisher's exact test). All patients survived. The median (range) hospital stay was ten (9-72) days. CONCLUSION: Diagnosis of trans-anal rectal injuries is usually delayed because of late presentation. Sexual assault should be suspected following rectal injuries. Colostomy is not always mandatory.  相似文献   

17.
INTRODUCTION: This study aims to evaluate the magnitude, mechanism, distribution and outcome of bicycle-related injuries managed at the Emergency Department, Al-Ain Hospital, United Arab Emirates. METHODS: 200 patients, who were treated at the emergency department of Al-Ain Hospital during the period of October 2001 to January 2003, were prospectively studied. A hard copy protocol was designed and data was collected on a daily basis. RESULTS: 175 patients (87.5 percent) were males. The average age was 16.1 +/- 13.7 years. Only two were wearing helmets (one percent). The majority of injuries occurred in the evening and was due to a fall from a bicycle in 163 patients (81.5 percent). 88 patients had lower limb injuries (44 percent), and 72 had head and neck injuries (36 percent). Only 31 patients (15.5 percent) needed hospitalisation. Of these, four (12.9 percent) were admitted to the intensive care unit. The mean (range) hospital stay was 6.3 (1-23) days. Patients who were admitted to the hospital were older males, involved in motor vehicle collisions, and had more head injuries. Three patients (1.5 percent) died. CONCLUSION: Bicyclists' head injuries, caused by a motor vehicle collision, are a main cause of hospital admission. Helmet compliance in our community is alarmingly low, indicating the need for legislation and education on the use of helmets.  相似文献   

18.
Clinical and electrophysiologic findings on 136 patients (39 women and 97 men; mean age = 33.2 years) with traumatic peripheral nerve injuries were reviewed. Motor vehicular collisions (MVCs) caused 39.7% and gunshot wounds (GSWs) produced 32.4% of the nerve injuries studied. Other factors such as falls, lacerations, work-related injuries, knife wounds, and blunt traumas produced the remaining 27.9% of the nerve injuries in the study group. Peripheral nerves of the upper limbs (79.6%) were disproportionately damaged in MVCs compared with those of the lower limbs (20.4 %). In MVCs, the brachial plexus was involved in 37.0% and radial nerve in 22.2% of the cases. Patients with GSWs were predominantly men (88.6%) and slightly younger (mean age = 28.7 years). The frequencies of peripheral nerve injuries to the upper extremities (52.3%) and lower extremities (45.5%) were nearly similar in GSWs. The sciatic nerve was involved in 34.1% of GSWs, followed by the ulnar nerve (22.7%).  相似文献   

19.
目的观察“三利巴布膏剂”贴片用于软组织损伤的疗效。方法软组织、关节韧带等伤痛18例,男6例,女12例,年龄12~84岁,采用我院自行研制的“三利巴布膏剂”粘贴于患者皮肤触痛最明显处,根据需要6~12 h后换用新贴片,直至痊愈。结果18例患者经用贴片治疗,全部痊愈,治愈率100%,无局部或全身不良反应。结论“三利巴布膏剂”贴片对于软组织或关节韧带等伤痛,疗效显著,是治疗软组织疼痛的有效药物。  相似文献   

20.
Head injuries in childhood: a 2-year survey.   总被引:1,自引:0,他引:1       下载免费PDF全文
A retrospective study was conducted of the 880 children with head injuries consecutively admitted to the Children's Hospital of Eastern Ontario in Ottawa from July 1976 to June 1978. It confirmed a boy:girl ratio of about 2:1, with a peak of 3.5:1 around 7 years of age. The largest number of head injuries was in children under 1 year of age. Injuries were most common in summer and spring, and most were caused by falls. The most common place for head injuries was in the home, but the single most common cause of injuries was bicycle accidents, which were responsible for 12% of all the head injuries. Skull fractures were found in 30% of all the patients. Of the 34 patients with severe head injuries 8 (24%) died, 9 (26%) had a moderate residual disability and 17 (50%) made a good recovery. There were no other deaths, so the mortality for the entire group of 880 patients was 0.9%.  相似文献   

设为首页 | 免责声明 | 关于勤云 | 加入收藏

Copyright©北京勤云科技发展有限公司  京ICP备09084417号