地震后送老年伤员的伤情特点与治疗对策

目的 探讨60岁以上地震伤后送老年伤员的伤情特点与治疗对策.方法 回顾性分析2008年5月26日至28日汶川地震后收治的15名60岁以上老年伤员的具体伤情、救治过程和结果,并总结经验.结果 除1例87岁高龄伤员人院后4d因误吸死亡外,其余14名伤员获得成功救治,未发生伤情加重或死亡,且心理状况良好,均表现出对伤痛康复充满信心,现在生命体征平稳,身体状况及伤情较转入前明显改善.结论 地震伤后老年伤员的伤情复杂,常伴有严重的复合伤及内科并发症.多科室通力协作,全面、系统评估老年伤员全身情况,及时制定合理的治疗方案,必要的心理干预和人文护理,是降低老年伤员手术风险及死亡率、提高治疗效果以及康复的关键.

Therapy for elderly earthquake casualties transferred 2 weeks later

Objective To discuss the therapy for patients aged more than 60 years who were transferred 2 weeks after the 5.12 Sichuan earthquake. Methods A retrospective investigation was done for the 15 elderly patients who had been transferred to our hospital 2 weeks after the earthquake. Their injury conditions, medical interventions, and results were analyzed. Results Fourteen earthquake casualties survived, with stable life signs and improved physical and injury status. One patient aged 87 died because of aspiration 4 days after transfer to our hospital. Conclusion Since the state of injury of elderly earthquake casualties is usually complicated and complicated with severe wounds and complications of internal organs, a teamwork of multiple departments, accurate and overall diagnosis of systematic condition, reasonable therapeutic protocols, necessary mental innervation and considerate nursing are essential for diminishing risks for the elderly patients and improving their therapeutic efficacy.