四川省德阳市人民医院1950例汶川地震伤员救援组织指挥纪实

目的回顾性分析四川省德阳市人民医院1950例汶川地震伤员伤情，为今后建立和完善灾区一线医院医疗救援提供决策参考。方法收集该院从震后至7月12日止收治的地震伤员相关资料，分析伤员基本情况和医院总体救治情况。资料录入采用EXCEL表格，统计方法采用SPSS11．0软件，对结果做描述性分析。结果截至7月12日，该院共收治伤病员3328例，其中伤员1950例，病员1378例。住院伤员集中在震后1周内（占65．64％），震后当天住院伤员数最多（703例）。伤员主要来自绵竹、什邡和旌阳区。入院诊断前三位损伤依次为骨折（45．85％）、颅脑伤（含头面部外伤）（20．91％）和胸腹部损伤（14．69％）。共死亡48例，其中人院前死亡30例，急诊死亡10例，住院死亡8例。向二、三线医院有效外送和转运伤员441例，为全省第一家实施规模转运的医院。收治重灾区病员1378人次，下基层巡诊治疗726人次。对住院伤员和灾区居民、医护人员、武警官兵实行心理抚慰共5000余人次。结论在汶川大地震中，四川省德阳市人民医院出色地完成了地震灾区一线救治转运中心的任务，起到了紧急救治中的关键枢纽作用。

Organizing and Commanding the Medical Treatment of 1950 Injured Patients at the People's Hospital of Deyang City following the Wenchuan Earthquake

Objective To analyze data for 1950 injured patients in the People＇s Hospital of Deyang City following the Wenchuan earthquake, to provide relavent evidence to inform future decision-making in relation to establishing and improving frontline hospitals in disaster areas. Methods The basic situation of the wounded inpatients and the total situation of medical rescue were analyzed with data provided by the Department of Information at the hospital from May 12th to July 12th 2008. Microsoft EXCEL was used for data input and SPSS 11.0 was used for statistical analysis. Results By July 12th, a total of 1950 injured patients and 1378 inpatients had been treated in the hospital. Most inpatients were treated during the first week after the earthquake （about 65.6% ）, with the number of the inpatients reaching a peak of 703 on the first day, May 12th. The majority of the wounded inpatients were from the Mianzhu, Shifang and Jingyang districts of Deyang city. The diagnosis on admission included fracture （45.9%）, craniocerebral injury （20.9%） and thoracoabdominal injury （14.7%）. There were 48 deaths including 30 pre-hospital deaths, 10 emergency deaths and 8 inpatient deaths. There were 441 patients who were transported and transferred to the 2nd and 3rd hospitals from the People＇s Hospital of Deyang City, which was the first hospital to organize the large-scale transporting of patients in the whole province. There were 1378 inpatients from the disaster area and 726 healthcare workers were sent to the disaster area to provide medical rescue. Psychological treatment was provided to more than 5000 inpatients, inhabitants, healthcare workers and army members. Conclusion The People＇s Hospital of Deyang City successfully has accomplished a difficult task as the hospital nearest to the disaster area and played an important role during emergency medical rescue.