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"5.12"汶川大地震重症伤员特征与分阶段救治
引用本文:赵明钢,张阳德,张宗久,刘蔚东,彭健."5.12"汶川大地震重症伤员特征与分阶段救治[J].中国现代医学杂志,2008,18(16):2287-2290,2294.
作者姓名:赵明钢  张阳德  张宗久  刘蔚东  彭健
作者单位:1. 中南大学卫生部肝胆肠外科研究中心,湖南,长沙,410008
2. 中南大学生物医学工程研究院,湖南,长沙,410008
摘    要:目的 总结汶川大地震重症伤员的特征及分阶段救治的经验.方法 通过对伤员和重症的分类统计和数据分析,掌握不同阶段重症伤员的分布特征,从而有计划有针对性地实施分阶段救治.结果 "5.12"汶川地震后收治的重症伤员主要包括脊柱骨折合并脊髓损伤、颅脑外伤、截瘫、截肢、挤压综合征、四肢及骨盆外伤、耐药性感染、多器官功能衰竭.在救治过程拟定分三个阶段救治措施,提高了危重症患者的救治成功率.第一阶段抢救挤压综合征和急性肾功能衰竭,第二阶段解决伤员多器官功能衰竭和复杂耐药性感染,第三阶段实行"四集中",即实施"集中伤员、集中专家、集中支撑条件、集中收治"的工作方案,降低了死亡率.结论 大地震后重症伤员特征的分析和分阶段科学救治是最大限度地降低伤员病死率,援救伤员生命的关键.

关 键 词:地震  重症伤员  分阶段救治

Characteristics and staged rescue of severe cases in 5.12 Wenchuan megaseism
ZHAO Ming-gang,ZHANG Yang-de,ZHANG Zong-jiu,LIU Wei-dong,PENG Jian.Characteristics and staged rescue of severe cases in 5.12 Wenchuan megaseism[J].China Journal of Modern Medicine,2008,18(16):2287-2290,2294.
Authors:ZHAO Ming-gang  ZHANG Yang-de  ZHANG Zong-jiu  LIU Wei-dong  PENG Jian
Institution:ZHAO Ming-gang1,ZHANG Yang-de1,ZHANG Zong-jiu1,LIU Wei-dong2,PENG Jian2 (1.National Hepatobiliary , Enteric Surgery Research Center,Ministry of Health,Central South University,Changsha,Hunan 410008,P.R.China,2.Institute of Biomedical Engineering,P.R.China)
Abstract:Objective] To summarize the characteristics of severe cases in Wenchuan megaseism and the experience of staged rescue. Methods] The distributing characteristics of severe cases in different stages were obtained by means of classification statistic and data analysis of the wounded and serious diseases, accordingly staged rescue was performed designedly and definitely. Results] After5.12 Wenchuan megaseism,the hospitalized severe cases included mainly spine fracture combined with spinal injury, craniocereb...
Keywords:megaseism  severe case  staged rescue  
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