CAJ | 학술논문

目的探讨雪灾春运时大量密集人群长期滞留的紧急医学救援方法.方法回顾性分析2008年1月22日至2月6日雪灾春运期各类急诊患者20 966例的临床资料,对医学救助现场医疗中各系统疾病的构成比,院前急救的特点以及院内急诊门诊和危重病急救情况与日常情况进行对比分析.结果现场医疗中以呼吸道疾病(57.3%)、消化道疾病(25.5%)和外伤(6.2%)为主,院前急救中以外伤、晕厥、昏迷、抽搐的呼叫为主,但空车率高达30.3%,院内急诊与现场医疗情况相似,外伤中以四肢外伤(56%)和头部外伤(24%)发病率最高,在严重创伤患者中,高处坠落伤的发生率较高(35.7%),外伤致死的2例中,1例因踩踏死亡,另1例为高处坠落伤并电击烧伤.结论大型综合医院足城市灾害医疗救援中的主体,应把医院应对群体性灾害的能力列入医院质量考核指标,只有认真做好防灾,减灾的准备,才能高效地进行紧急医疗救援,将灾害带来的损失降到最低.
목적 탐토설재춘운시대량밀집인군장기체류적긴급의학구원방법.방법 회고성분석2008년1월22일지2월6일설재춘운기각류급진환자20 966례적림상자료,대의학구조현장의료중각계통질병적구성비,원전급구적특점이급원내급진문진화위중병급구정황여일상정황진행대비분석.결과 현장의료중이호흡도질병(57.3%)、소화도질병(25.5%)화외상(6.2%)위주,원전급구중이외상、훈궐、혼미、추휵적호규위주,단공차솔고체30.3%,원내급진여현장의료정황상사,외상중이사지외상(56%)화두부외상(24%)발병솔최고,재엄중창상환자중,고처추락상적발생솔교고(35.7%),외상치사적2례중,1례인채답사망,령1례위고처추락상병전격소상.결론 대형종합의원족성시재해의료구원중적주체,응파의원응대군체성재해적능력렬입의원질량고핵지표,지유인진주호방재,감재적준비,재능고효지진행긴급의료구원,장재해대래적손실강도최저.
Objective To explore the strategy of emergency medical rescue of the massive crowd in general hospital during spring festival with snow disaster. Method The clinical data of 20 966 emergency cases were analyzed retrospectively from 22 Jan,2008 to 6 Feb, 2008 with snow disaster, and concerned about the ratio of different diseases, the character of pre-hospital care and the contrast between emergency medical treatment and routine work. Results The accidence of respiratory disease ( 57.3 % ) was followed by gastrointestinal ( 25.5 % ) and trauma (6.2% )during the emergency medical treatment, and surgical trauma, syncope, coma and convulsion were the most common symptoms, also in some conditions, but empties returning was 30.3% . Similar to the above situation, the extremities (56%)and head injury (24%)were most commonly in the hospital emergency department. The incidence of falling accidents was high( 35.7 % ), and two of them were dead due to trauma on died of being trampled, and on the other was electrothermal burn and falling. Conclusions The general hospital is very important in emergency medical treatment, and it should be ready to tackle the emergency disaster, in order to reduce the loss to minimum.