36例玉树地震后送伤员伤情特点及治疗措施分析  

Analysis of the feature of traumatic conditions and therapeutic measures on casualties evacuated from Yushu earthquake area

作　　者：潘奇[1] 杜东鹏[1] 姜文雄[1] 

机构地区：[1]解放军第一医院兰州军区骨科中心,甘肃兰州730030

出　　处：《创伤外科杂志》2011年第2期152-154,共3页Journal of Traumatic Surgery

摘　　要：目的探讨玉树地震后送伤员伤情特点及治疗措施。方法对我院2010年4月17～24日收治的2批36例玉树地震后送伤员的伤情特点及治疗措施进行分析。结果 36例地震伤员按AIS-ISS评分标准,第1批伤员轻伤5例(41.7%),重伤5例(41.7%),严重伤2例(16.6%);第2批伤员轻伤21例(87.5%),重伤3例(12.5%),严重伤0例(0%)。骨折伤员24例49处,开放性骨折2例2处,闭合性骨折23例47处,多发伤26例,挤压伤6例。伴有原发性疾病者22例。10例伤员19处手术。出院时综合评估患者伤情,治愈33例,好转3例,死亡0例。结论玉树地震后送伤员符合一般地震伤特点,其临床特点鲜明,必须根据其临床特点进行个体化治疗,同时积极治疗原发病,注重心理疏导,加强术后功能锻炼,降低致残率。Objective To explore the wound characteristics and therapeutic measures of casualties evacuated from Yushu earthquake area.Methods Data of 36 casualties in 2 groups evacuated from Yushu earthquake area from April 17 to 24,2010 were collected,analyzing the wound characteristics and therapeutic measures.Results Among the 36 casualties,there were 9 male patients and 3 female patients in the first group,aged from 5 to 63 years（mean 38 years）.While there were 12 male patients and 12 female patients in the second group,aged from 12 to 68 years（mean 39 years）.According to AIS-ISS Score,there were 5 cases of slight injury（41.7%）,5 cases of moderate injury（41.7%） and 2 cases of severe injury（16.6%） in the first group,while there were 21 cases of slight injury（87.5%）,3 cases of moderate injury（12.5%） and 0 case of severe injury（0%） in the second group.There were 24 cases of fractures with 49 sites（9 patients with 27 sites in the first group and 15 patients with 22 sites in the second group）,2 cases of open fractures with 2 sites,23 cases of closed fractures with 47 sites,26 cases of multiple injury and 6 cases of crush injury.There were 22 patients with primary disease（6 patients in the first group,16 patients in the second group）.Ten patients were performed operations in 19 sites（8 patients with 16 sites in the first group,2 patients with 3 sites in the second group）.The comprehensive assessment at patients＇ discharge indicated that 33 cases were cured,3 cases got better,and no cases were dead.Conclusion The casualties evacuated from Yushu earthquake area are in accord with the general features of earthquake injury,meanwhile they have their own unique clinical feature.Individualized treatment is required and primary disease should be positively treated.In addition,psychological treatment should be emphasized,postoperative functional exercise be enhanced,so as to decrease the disability rate.

关 键 词：地震伤 多发伤 骨折 治疗 

分 类 号：R642[医药卫生—外科学]