CAJ | 학술논문

目的分析第三军区大学西南医院医疗队在"5·12"汶川地震震中区映秀镇大批量伤员的检伤救治与后送转运工作,探讨地震灾害现场大批量伤员的医疗救援模式.方法结合映秀镇救援现场实际,根据CRASHPLAN原则将救治区分为检伤分类区、轻伤区、重伤区和后送区.医疗队工作分组分区实施,检伤、治疗和后送在统一协调下展开.结果到达后的3 d时间内,医疗队共计分类救治批量伤员415例,其中危重伤员251例,行清创手术153例次,紧急骨筋膜室切开减压术12例次,直升机空运后送伤员317例.救治工作有序高效,所有伤员在救治过程和后送途中无一例死亡.结论根据现场救治能力和医疗资源情况科学地把握检伤分类后送原则和分级救治原则,对地震灾害大批量伤员的医疗救援具有特别重要的意义.
목적 분석제삼군구대학서남의원의료대재"5·12"문천지진진중구영수진대비량상원적검상구치여후송전운공작,탐토지진재해현장대비량상원적의료구원모식.방법 결합영수진구원현장실제,근거CRASHPLAN원칙장구치구분위검상분류구、경상구、중상구화후송구.의료대공작분조분구실시,검상、치료화후송재통일협조하전개.결과 도체후적3 d시간내,의료대공계분류구치비량상원415례,기중위중상원251례,행청창수술153례차,긴급골근막실절개감압술12례차,직승궤공운후송상원317례.구치공작유서고효,소유상원재구치과정화후송도중무일례사망.결론 근거현장구치능력화의료자원정황과학지파악검상분류후송원칙화분급구치원칙,대지진재해대비량상원적의료구원구유특별중요적의의.
Objective To address medical relief algorithm in earthquake center by analyzing triage and transfer of casualties in the quake-hit center Yingxiu town in the wake of the 5·12 Wenchuan earthquake.Method According to the actual hard working conditions and rule of CBASHPLAN,the locale was derided into triage area,minor wounds area,severe wounds area and transfer area.Medical team coming from Soulhwest Hospital,the Third Military Medical University was derided into several groups. Triage, treatment and transfer of casualties well arranged. Results A total of 415 victims was treated by our medical team in early three days.Of these victims,251 were severe injuned,153 were debrided,12 were decompression with cutting open the wound because of their oseofascial canpartment syndrome,and 317 casualties were transferred by helicopters.No victim died during treatment and transfer at quake-stricken region.The whole work was proceeded in good order and efficiently.Conclusions Triage and transfer of casualties scientifically allowing for the capability of medical relief and the sufficiency of medical resources are very important to deal with batches of casualties in quake-stricken region.