响水3.21特大爆炸事故批量伤员初期医学救援实践与思考  

Initial Medical Emergency Rescue Disposal Strategy for the Mass Casualties of the 3.21Extraordinarily Large Accident in Xiangshui

作　　者：孙文[1] 戴斌[1] 朱克[2] 黄雨 刘光亮[3] 薛方苏 刘青青 Sun Wen;Dai Bin;Zhu Ke;Huang Yu;Liu Guangliang;Xue Fangsu;Liu Qingqing(President Department,Binhai County People's Hospital of Jiangsu Province,Nanjing 224500,China;The Emergency Management Office,Binhai County People's Hospital of Jiangsu Province,Nanjing 224500,China;Medical Affair Office,Binhai County People’s Hospital of Jiangsu Province,Nanjing 224500,China)

机构地区：[1]1江苏省滨海县人民医院院部,江苏滨海224500 [2]江苏省滨海县人民医院应急办,江苏滨海224500 [3]江苏省滨海县人民医院医务科,江苏滨海224500

出　　处：《江苏卫生事业管理》2019年第7期949-952,共4页Jiangsu Health System Management

摘　　要：目的:探讨响水3.21特大爆炸事故后,短期内批量伤员急诊救治的应急组织和应对策略,进一步优化短期内大量伤员涌入的急救流程,提高急救水平。方法:事故发生后8小时收治伤员92人,通过检伤分类,分为轻、重、危重三级,自预检分诊开始,对所有伤员分类,分别采取门诊处置、留观、收入专科病区、入ICU或手术室。分别组建院前急救组,急诊救治组,病区救治组,后勤保障组,病员服务组,信息统计组,安保宣传组等,对92例伤员进行及时有效处置。结果:92名伤员全部得到及时有效救治,其中危重2人,重伤22人,轻伤68人;入院治疗51人,留观3人,38人门诊治疗离院;所有伤员均病情好转或治愈后离院,整个救治实施过程满意。结论:按照特大事故应急预案,全院及时响应,分类救治,有效合理调配医疗资源,协调组织好各小组应急救治工作,能够提高批量伤员救治效果和满意度。Objective:To explore the emergency organization and coping strategies for the emergency treatment of a large number of casualties after a 3.21 blast accident in Xiangshui,and to further optimize the emergency flow of a large number of casualties in short term to improve the first aid level. Methods:According to the accident,the wounded 93 people were treated 8 hours after the accident. According to the classification of injuries,they were divided into three grades:mild,severe and critically patients. From the beginning of the pre-examination triage,all the wounded were classified:outpatient treatment,observation,the specialist ward,ICU or operating room. The hospital set up a pre-hospital first aid group,an emergency treatment group,a ward treatment group,a logistics support group,a patient service group,an information statistics group,a security publicity group. Results:All 92 wounded patients were treated promptly and effectively. Among them,2 were critically patients,22 were seriously injured,and 68 were slightly injured. 51 patients were admitted to hospital,3 were observed,and 38 received outpatient treatment. In the hospitalization,All of wounded patients were discharged after the condition improved or cured. The whole treatment process was satisfactory. Conclusions:According to the special emergency plan,the hospital can respond quickly with classified treatment,and can effectively and rationally allocate medical resources,and organize the emergency treatment of each group.

关 键 词：特大事故 医学救援 批量伤员 应急策略 

分 类 号：R197.32[医药卫生—卫生事业管理]