突发性成批伤、灾害伤的早期救治  

Early treatment of burst mass injury or disaster injury

作　　者：沈国良[1] 杨雯娴[1] 

机构地区：[1]苏州大学附属第一医院烧伤整形外科,215006

出　　处：《中华损伤与修复杂志（电子版）》2016年第3期169-172,共4页Chinese Journal of Injury Repair and Wound Healing(Electronic Edition)

基　　金：国家自然科学基金(31370968)

摘　　要：突发性成批伤、灾害伤是一个群体性事件,是指在没有准备的情况下,同一时间、同一地点、同一致伤原因引起的多人伤害,具有突发性、人数多、病情复杂、救治难度大等特点。近年来各类突发事件不断发生,全球每年死伤人数在数千万人以上。对于此类灾害的医学救援,笔者认为专业技术力量前伸至受灾现场、协助拣伤分类及现场急救;区域性灾害救援网络及通讯网络的组建;急救现场及运输途中早期救治的详实记录;入院后的再次伤情甄别,频繁和持续地复查和再评估;对危重伤员实行专组管理、责任到人;实施灾后早期心理干预及提升灾前备灾阶段医疗资源的储备能力等措施,可以更好地应对突发灾害事故,提高救治效率和质量。The burst mass injury, disaster injury is a mass event which refers to large number of people hurt in the absence of preparation at the same time, in the same place, caused by the same reason, it is characterized by its suddenness, large number of casualties, complex of injuries and difficulty in treatment. In recent years, various types of incidents continue to occur, global annual death toll is in the tens of millions more. For this type of disaster medical rescue, the authors believe that the professional and technical strength should be reached the disaster site to assist triage and offer first aid;regional disaster relief network and communication networks should be established;the details of field first aid and early treatment in transit should be recorded;discrimination injuries again after admission, the injuries should be reviewed and reassessed frequently and continuously; the critically injured should be implemented of special group management, response to individual; early psychological intervention should be implemented, medical resources reserve capacity should be promoted in the pre-disaster stage. The above measures can better deal with unexpected disasters, improve the treatment effect and quality.

关 键 词：急救 成批伤 灾害伤 区域性灾害救援网络 

分 类 号：R64[医药卫生—外科学]