地铁脏弹恐怖袭击医学救援的难点和对策探讨  

The discussion on the difficulties and countermeasures of medical rescue in terrorist attack of dirty bomb in subway

作　　者：闫铁成 鱼敏 YAN Tiecheng;YU Min(Institute of Health Service and Transfusion Medicine,Academy of Military Medical Sciences,Academy of Military Sciences,Beijing 100850 China)

机构地区：[1]军事科学院军事医学研究院卫生勤务与血液研究所,北京100850

出　　处：《中国辐射卫生》2020年第3期292-294,共3页Chinese Journal of Radiological Health

摘　　要：面对世界多次发生地铁爆炸恐怖袭击的现实,结合对脏弹威胁的考量,本文以城市地铁遭遇脏弹恐怖袭击为假设,探讨其医学救援的难点和对策。梳理的难点有现场医学救援协同要求高;医疗后送的时效性难保证;对大批量伤员实施洗消难度大;现场医学救援展开区域有限;公众心理救援需求紧迫。提出的对策是明确反恐应急机制,多方合作细化预案;设置多个应急医院,形成救援保障网络;统筹医学救援力量,保障救援顺利实施;定期进行训练演练,总结经验提升能力。In the face of the reality that there were many bombing terrorist attacks in subway in the world and combined with the consideration of the threat of dirty bomb,we discussed the difficulties and countermeasures of medical rescue based on the hypothesis that the urban subway was suffering from the terrorist attacks of dirty bomb.The difficulties are as follows:the coordination of on-site medical rescue is in high requirement;the timeliness of medical evacuation is hard to be guaranteed;decontaminating a large number of wounded is challenging;area of the on-site medical rescue is limited;and the need for public psychological rescue is urgent.The proposed countermeasures are to clarify the anti-terrorism emergency mechanism and elaborate the plan of multi-party cooperation;to set up the radiation sickness treatment network based on the subway lines;to coordinate medical rescue forces to ensure the rescue implementation smoothly;to conduct regular training exercises to summarize experience and improve ability.

关 键 词：地铁 脏弹 恐怖主义 医学救援 

分 类 号：R821.42[医药卫生—临床医学]