高原大规模施工作业人群应急医疗保障问题与对策研究  

Research on Emergency Medical Services Issues and Strategies for High Altitude Large Mass of Construction Workers

作　　者：彭碧波 李胜男 郭静[1] 高相楠 于瑾[1] PENG Bibo;LI Shengnan;GUO Jing;GAO Xiangnan;YU Jin

机构地区：[1]解放军总医院第三医学中心

出　　处：《中国应急救援》2023年第5期19-24,共6页China Emergency Rescue

基　　金：“大规模高原作业人群主动健康保障战略研究”中国工程院战略研究与咨询项目(项目编号:2021-JJZD-10)资助。

摘　　要：回顾性研究高原高寒区大规模人群施工作业时应对突发事件的指挥机制、医疗后送力量配备、医疗后送阶梯转运时间、运力储备及使用直升机、固定翼飞机等数据,比较救援成效。分析我国高原高寒区大规模作业施工应急医疗保障体制经历了3个不同历史阶段并分别对应3种不同模式。现阶段存在的主要问题包括:联合协调指挥机制尚未完全建立;一级救治阶梯运力不够;二级阶梯急救快速扩增能力不足;三级阶梯距离太远;各阶梯间存在缺乏配套的直升机转运与固定翼飞机转运等问题。提出高原高寒区大规模人群施工作业应急医疗问题复杂,其内在的救援规律还需进一步研究;未来需要构建更加有弹性的医疗后送阶梯。This thesis retrospectively studied the data of command mechanism,medical evacuation force allocation,medical evacuation ladder transfer time,transport capacity reserve and the use of helicopters and fixed-wing aircraft to deal with emergencies during large-scale crowd construction operations in cold plateau areas,and the rescue effect was compared.The emergency medical security system for largescale construction in the cold plateau region of China has gone through three different historical stages and corresponding to three different modes.The main problems at this stage include:the joint coordination and command mechanism has not been fully established;the firstlevel treatment ladder has insufficient capacity;the second-level ladder has insufficient rapid expansion capacity;the third-level ladder is too distant;there is a lack of supporting helicopter transfer and fixed-wing aircraft transfer between the ladders.It is proposed that the emergency medical problems of large-scale crowd construction operations in cold plateau areas are complex,and the inherent rescue rules need to be further studied,and a more flexible medical evacuation ladder needs to be developed in the future.

关 键 词：高原寒区 应急医疗服务体系 急救 

分 类 号：R13[医药卫生—劳动卫生]