1268例汶川地震住院伤病员疾病谱分析  

Disease spectrum analysis of 1268 cases hospitalized after Wenchuan earthquake

作　　者：廖冬发[1] 权毅[1] 潘显明[1] 邓冰[1] 马泽辉[1] 周劲松[1] 屈波[1] 蒋凯[1] 

机构地区：[1]成都军区总医院骨科,四川成都610083

出　　处：《中国现代医学杂志》2009年第21期3282-3285,共4页China Journal of Modern Medicine

摘　　要：目的分析该院收治1268例地震伤病员疾病的临床分布特点,为今后地震灾害的医学救援提供参考。方法整理该院救治1268例地震伤病员的临床资料,对伤病员一般情况及具体伤情进行分析。结果1268例患者中,男667例(52.6%),女601例(47.4%);60岁以上和20岁以下伤病员462例(36.4%);震后前3天入院803例(63.3%);外伤/伤口类患者1229例(96.92%),涉及骨科治疗929例(73.27%);按ISS评分,外伤/伤口类患者中,重度以上损伤568例(46.22%),并发休克25例(2.03%),发生筋膜间隙综合征25例(2.03%),挤压综合征并急性肾功能衰竭8例(0.63%),气性坏疽1例(0.08%),死亡10例(0.81%)。结论此次地震伤病员的数量大,送达时间集中,损伤程度重,重伤及复合伤患者多,绝大部分患者涉及骨科处理。[Objecfives] To analyze the clinical distribution of 1 268 cases hospitalized sick or wounded in the earthquake, and provide medical information for the earthquake disaster relief in the future. [Methods] We reviewed the clinical data of 1 268 cases remedied by our hospital after the earthquake, and analyzed the general conditions and traumatic conditions of them. [ Results ] Among all of the 1 268 cases, 667 cases （52.6%） were male and 601 eases （47.4%） were female, 462 cases （36.4%） were over 60 years old or under the age of 20; 803 cases （63.3%） were admitted among the first 3 days after the earthquake; 1229 cases （96.92%） belonged to Trauma/wound category; 929 cases （73.27%） were involved in orthopaedic treatment. Among the 1 229 Trauma/wound cases, according to ISS score, 568 cases （46.22%） were injured seriously, 25 cases （2.03%） were complicated with shock, 25 cases （2.03%） were complicated with compartment syndrome, 8 cases （0.63%） were complicated with compression syndrome and acute renal failure, 1 case（0.08%） was complicated with clostridial myonecrosis, 10 cases （0.81%） were died in hospital. [ Conclusion ] The number of patients after Wenchuan earthquake was large, and these patients mainly admitted among the first 3 days, injured seriously, many of them were macrotrauma or multitrauma, almost all of them were involved in orthopedic treatment.

关 键 词：地震 住院伤病员 疾病谱 

分 类 号：R195.4[医药卫生—卫生统计学]