四川地震野战医院门诊伤病员疾病谱分析  

Analysis of diseases spectrum of patients after Wenchuan earthquake

作　　者：何忠杰[1] 冯光[1] 唐志雄[1] 夏晖[1] 黄立锋[1] 沈文洁[1] 司小倩[1] 吴闻文[1] 张宜明[1] 李涛[1] 周成勇[1] 张玲[1] 张恩君[1] 栾复新[1] 

机构地区：[1]解放军总医院第一附属医院抗震医疗队,北京100037

出　　处：《中国急救医学》2008年第9期796-799,共4页Chinese Journal of Critical Care Medicine

摘　　要：目的对地震灾区震后1周开始野战医院收治伤病员资料进行分析，总结地震灾区疾病谱的变化规律。方法对伤病员性别、年龄及诊断结果进行统计，计算各类伤病所占百分比，同时分析各类伤病员数的时间分布趋势。结果2331例伤病员性别比较差异无统计学意义，受伤人群年龄段集中在15～60岁人群组，有1535例（65．9％），儿童组有382例，60岁以上人群组有414例（17．7％）。排在前4位的疾病依次为：呼吸系统601例（25．8％）、外科586例（24．9％）、皮肤科疾病295例（12．7％）及其他243例（10．4％）。地震1周后内科收治人数超过外科伤病员数。结论地震发生后应根据疾病谱合理配置人员、物资等，以提高救治效果并减少医疗资源的浪费。Objective To investigate the data of the patients admitted to field hospital one week after the earthquake, and to analyze the regularity of diseases spectrum in Wenchuan earthquake. Methods Sex, age and diagnosis result of the patients were collected and the percentage of diseases was respectively calculated. The tendencies of time distribution of patients were also analyzed. Results Sex differences of patients were not obvious in a total of 2331 cases. 1535（65.9% ）eases was 15 -60 years old, which were significantly higher than other groups, 382 （ 16.4% ） cases was 0 - 14 years old, 414 （17. 7% ） cases was over 60 years old. The top 4 diseases consisted of respiratory system 601 （25.8%） , trauma （ fracture, wound or injury） 586 （24.9%） , dermatology system 295 （ 12.7% ） and others 243 （ 10. 4% ）. The amount of internal medicine patients exceeded that of surgery. Conclusions The reasonable allocations of medical personnel and drugs after earthquake may improve the remedy results and to prevent the waste of medical resource during future disasters.

关 键 词：地震 医疗救援 疾病谱 四川地震 野战医院 医疗队 

分 类 号：R19[医药卫生—卫生事业管理]