城市成批伤亡事件医院救护模式的回顾性研究  

A retrospective study of hospital response model to urban mass casualty incidents

作　　者：桂莉[1] 张宝胜[2] 张静[1] 厉瑛[1] 陈瑶[1] 周玲君[1] 席淑华[2] 

机构地区：[1]第二军医大学护理系急救护理学教研室,上海市200433 [2]第二军医大学长征医院护理部

出　　处：《中华护理杂志》2011年第5期468-470,共3页Chinese Journal of Nursing

基　　金：上海市自然科学基金(编号:10ZR1437800);上海市浦江人才计划(编号:10PJC001)资助

摘　　要：目的介绍上海"11.15"特大火灾成批伤员医院内救护模式,分析本模式在城市成批伤救护中的运用效果。方法回顾性调查承担主要救治任务的某二级甲等医院的医护人员共5名,采用查看病历、问卷调查和半结构访谈等方法,获取医院及伤员基本资料、院内救护展开模式、伤员转归及医护人员评价。结果该院共接收56例伤员,以吸入性损伤为主。医院采用的是"以急诊科为主组织院内抢救,院领导协调救护资源调配"的救护模式,以及"病房作为急诊的大后方,二三级医院联合救助"的伤员分流模式。伤员预后良好,救护人员整体评价好。结论本次医院所采取的医院内外协作救护模式值得借鉴,但还需加强应急分队和制度建设、优化流程等措施,以提高医院对于成批伤的救护能力。Objective To introduce the hospital response model to the victims of 2010 Shanghai fire and analyze the effectiveness of this model in coping with urban mass casualty incidents（MCI）.Methods A retrospective study was conducted by record review,questionnaire investigation and semi-structure interview in five medical staff who took part in the rescue.Data were collected on the general information of the hospital and the victims,hospital response model,prognosis of the victims and appraisal of medical staff.Results Fifty-six victims were sent to the hospital,most of whom suffered from inhalation injuries.By establishing the green channel in emergency department,deploying rescue resources by the leader,and cooperation among second-class hospital and irst-class hospitals,the hospital responsed to the incident effectively.For most victims,their prognosis was quite good.Conclusion The hospital response model to the fire rescue had successful experiences to follow,and the urban hospitals＇ capacity should be further enhanced by organizing and training rapid reponse team and updating the protocol.

关 键 词：火灾 创伤和损伤 急救医疗服务 医院管理 

分 类 号：R459.7[医药卫生—急诊医学]