汶川地震应急期伤员手术类型分析及管理经验  

Analysis of Operation Types for the Wounded in Emergency Phase of Wenchuan Earthquake and Management Experience

作　　者：黄文霞[1] 谭永琼[1] 张祥蓉[1] 胡雯[1] 金晶[1] 

机构地区：[1]四川大学华西医院手术室,四川成都610041

出　　处：《护理学报》2009年第24期13-15,共3页Journal of Nursing（China）

摘　　要：目的分析汶川地震发生后前3周内手术特点,为大地震后手术室采取急救策略和医疗资源配置提供经验。方法回顾性分析统计地震应急期(2008年5月12日—6月1日)大型医院手术室内完成的各类手术,并详细分析地震伤员的手术资料:年龄、性别、受伤部位、手术科室、手术名称等。结果汶川地震应急期手术室内完成手术2753台次,其中地震伤员手术819台,占所有手术台数的29.7%。632名手术地震伤员中,成年男性266名(占42.1%),妇女儿童366名(占57.9%)。地震伤员手术分布以四肢伤为主(占76.0%),其次是脊柱脊髓伤(占5.4%)和颅脑损伤(占4.8%)。结论地震应急期启用双轨制管理,合理组织安排手术,根据每周手术特点准备手术器械与用物,使地震伤员和非地震病员都可以得到满意的救治。Objective To analyze the characteristics of operations within the first 3 weeks after Wenchuan earthquake, so as to provide some experience for emergency rescue and medical human resources allocation. Methods A retrospective study was made of the various operations made in the emergency phase of Wenchuan earthquake （May 12-June 1, 2008）, and a detailed analysis was made of the information of the wounded, including age, gender, wounded part, operation-carrying department and operation name, etc. Results The total operations numbered 2 753 table times, with 819 tables for those wounded in the earthquake, accounting for 29.7%. Of the 632 cases wounded in the earthquake, adult males numbered 266, accounting for 42,1%, and adult females and children, 366, accounting for 57.9%. The majority of the operations were made for the wounds with the four limbs, accounting for 76.0%, with next being the injuries of the spinal cord and spinal column （5.4%） and the craniocerebral injuries （4.8%）. Conclusion In the emergency period of the earthquake, double-track system should be adopted and operations well organized.

关 键 词：地震应急期 手术室 手术特点 

分 类 号：C931.3[经济管理—管理学] R47[医药卫生—护理学]