以“科学救援”指导医疗急救——论汶川大地震德阳灾区紧急医疗救援

四川省德阳市人民医院作为汶川大地震重灾区德阳唯一的综合三级甲等医院，地震一发生即投入医疗紧急救援，并从实践中总结出一些经验。首先应评估医疗机构的现实情况，外援机构的多方协作、加强卫生防疫工作、进行必要的心理干预，尤其是对那些有厌世自杀倾向的人。应建立“县乡级-地市级-省部级”三级医疗救援体系，针对伤员多、救治场所紧张的现状，医疗救援指挥中心应整合所有医院，开辟学校、体育场馆等场所，集中对伤员进行治疗。可动员房地产公司免费为医院搭建彩钢的临时病区。联合转运伤员机制可缓解三级医疗救援体系的压力。信息沟通渠道畅通有利于医疗救援工作的运行。

Scientific rescue as the guiding principle of medical rescue Experience from the emergency medical rescue in Deyang earthquake-stricken area

The only grade 3 A hospital in Deyang, one of the severely stricken areas during the Wenchuan earthquake, the People＇s Hospital of Deyang City rapidly participated in the emergency medical rescue. Experience was summarized from the practical work. First of all, the situation of the medical institutions is to be assessed. Outside assistance is needed. Hygiene and epidemic prevention are integrated parts of medical rescue work. Psychological guidance is very important, especially for those in their pessimistic and world-weary sad mood and with the tendency to commit suicide. Real estate company could be mobilized to build color-coated steel houses as temporary wards free of charge. Joint transfer mechanism of the wounded helps alleviate the pressure on the 3-stage medical rescue system. Un-obstructed information channel benefits the functioning of medical rescue.