公交车爆炸伤的伤情特点及救治

目的探讨公交车爆炸伤伤员的伤情特点及急救和治疗方法。方法回顾分析二起公交车爆炸伤87例伤员的伤情特点和处理方法。结果本组87例伤员,9人当场炸死,3人后送途中死亡,18人门诊观察数日回家,57人住院治疗,其中除2例3肢骨缺损行二期植骨术,2例胫神经损伤二期行神经修复术外,其余病人均痊愈出院。结论爆炸伤病人伤情重且复杂,多为复合伤,死亡率高,接收成批伤员,应做好院前抢救和分类工作,分轻重缓急安排好抢救、治疗及手术。

Treament of bus explosion wounds

Objective To explore the characteristics of the bus explosion wounds and their first aid and treatment. Methods The conditions of the 87 victims of two bus explosions and their treatments were analyzed retrospectively. Results Of the 87 victims, 9 died on the spot, 3 died on their way to the hospital, 18 were treated in the outpatient department and discharged after observation for several days, and 57 received hospitalization treatment. All the patients were discharged with full recovery except that 2 with bone defects in 3 limbs had to receive secondary bone transplantation and 2 with tibial nerve injury had to receive secondary nerve plerosis. Conclusions The conditions of victims of the bus explosion are usually severe and complicated. The majority of the patients present compound wounds with high mortality. Pre hospital first aid and classification of the patients should be made properly before the patients are referred to the hospital in batches. Treatment should be arranged in order of severity and urgency.