CAJ | 학술논문

目的探讨地震后送伤员的特征与相应的治疗方案.方法 2008年5月22日至24日,对收治的15例地震后送伤员的特征进行分析并采取相应的治疗,包括心理康复、清创、骨折切开复位内固定、应用持续负压封闭引流技术及植皮手术等.结果地震后送伤员的特征包括:震后心理创伤的存在(15例),四肢截肢术后感染多(4例),四肢皮肤软组织缺损居多(10例),四肢骨折创伤较多而脊柱损伤相对较少(仅1例脊柱骨折),儿童骨折创伤多(4例).15例伤员感染均得到控制,创面愈合满意,骨折对位好,内固定牢靠.结论地震后送伤员的特征鲜明,必须按照不同特点制定相应的个体化治疗方案.
목적 탐토지진후송상원적특정여상응적치료방안.방법 2008년5월22일지24일,대수치적15례지진후송상원적특정진행분석병채취상응적치료,포괄심리강복、청창、골절절개복위내고정、응용지속부압봉폐인류기술급식피수술등.결과 지진후송상원적특정포괄:진후심리창상적존재(15례),사지절지술후감염다(4례),사지피부연조직결손거다(10례),사지골절창상교다이척주손상상대교소(부1례척주골절),인동골절창상다(4례).15례상원감염균득도공제,창면유합만의,골절대위호,내고정뢰고.결론 지진후송상원적특정선명,필수안조불동특점제정상응적개체화치료방안.
Objective To discuss the characteristics and treatment of the casualties evacuated from Wenchuan earthquake area. Methods An analysis was done on the 15 evacuated earthquake casualties who received secondary treatment in our hospital from May 22 to 24. Combined therapeutic protocols were used for the 15 cases, including psychological rehabilitation, wound excision, open reduction and internal fixation, application of vacuum sealing drainage, and dermatoplasty. Results The casualties were characterized by psychic trauma following earthquake (15 cases), infection after extremity amputation (4 cases), soft tissue defects (10 cases), and injury to extremity rather than to spine (only 1 case of spinal fracture). Infection was well controlled, wound surface healed, and fracture obtained stable fixation in all the patients. Conclusion The therapeutic protocols based on the secondary characteristics of earthquake casualties are effective.