平时突发事故大批伤病员的院前急救与护理  

Prehospital First-aid and Nursing on Massive Wounded in Accidents in Peacetime

作　　者：周菲[1] 李乙尼[1] 白建萍[1] 谢培增[1] 朱辉 

机构地区：[1]解放军421医院神经外科,广州510318 [2]解放军422医院神经外科

出　　处：《华南国防医学杂志》2009年第6期43-45,共3页Military Medical Journal of South China

基　　金：军队十一五军事医学科研课题(06MB174)

摘　　要：目的探讨平时突发事故大批伤病员院前急救疗效,提高有效的救护水平。方法在2004-01/2008-12月期间,全组经院前抢救伤病员203批次,伤病员1837例。对有关伤病员进行分类,心、肺、脑复苏,急救手术、并发症的防治和快速后送。结果本组伤病员1837例,存活1720例(94%),死亡117例(6%)。在死亡病人中,死于院前47例(40%);死于伤后24h以内73例(62%);死于创伤115例(98%),死于热射病2例(2%)。结论平时突发事故大批伤病员的主要特点是因伤多、伤病员数量多、病情重和诊断难度大的特点。快速、高效的现场急救,全面、细致、早期、准确的院前救护处理,是提高平时突发事故大批伤病员抢救成功率的关键。Objective To investigate the efficacy of prehospital first-aid and nursing on massive wounded in accidents in peacetime and to put forward a better management proposal. Methods One thousand eight hundred and thirtyseven wounded persons in 203 accidents during January 2004 to December 2008 were rescued by prehospital first-aid and nursing. The patients were classified, accepted cardiac pulmonary cerebral resuscitation,emergency operation and complication prevention, and were rapidly evacuated to hospital. Results 1720 cases survived （94%）,117 cases died （6%）. Among died cases, 47 died on prehospital （40%）, 73 died in 24h after injury （62%） and 115 died from trauma（98%）,2 died from heat stroke （2%）. Conclusion The massive wounded in accidents in peacetime have special clinical features,including various causes of injures and diseases ,large quantity of patients, severe state of illness and diagnosis difficulty. Quick and efficient on-the-spot rescue and comprehensive, detailed, early and accurate prehospital first-aid and nursing are significant for successful rescue.

关 键 词：平时 事件 大批伤病员 院前急救 护理 

分 类 号：R472.2[医药卫生—急诊医学]