CAJ | 학술논문

目的分析一起飞行颠簸事件发生经过和相关伤员的伤情并探讨现代综合医疗救护方法.方法对一起严重飞行颠簸事件的伤员伤情及急救处理进行回顾性医学分析.结果 2007年7月6日,南方航空公司一架A330执行CZ322悉尼-广州航班任务时,在高度FL350巡航期间,距Molly(马尼拉区域)航路点约100海里(1海里=1852 m)时,遇晴空湍流发生严重颠簸,造成机上37人不同程度受伤.其中9名为机组乘务员,占机组成员60%;其余28名为旅客,占旅客人数的13%.伤情以头面部和颈部外伤最多,其次为四肢外伤,以皮肤软组织损伤为主,没有脏器损伤及骨折.直接致伤原因为晴空湍流造成飞机颠簸后的机械损伤.事件发生后,机组人员机上进行初步伤情确认及紧急处理.飞机降落在白云机场后,机场急救中心相关人员上机初步救助及转运伤员,南方航空公司航卫中心工作人员进行伤员分类转运,民航广州医院及广州当地有关医院对伤员进行进一步检查及治疗.以上所有环节完成及时,配合良好.伤员均得到及时完善的救治,现已全部痊愈或好转.结论 ①突发的晴空湍流难以发现,对飞行安全威胁很大;②紧急医疗救援的组织管理非常重要;③飞行事故医疗救护的应急组织方案和医疗救援能力非常关键;④对旅客和机组人员要加强安全和防护教育;⑤对受伤乘务员的体检鉴定应注意受伤部位的功能恢复情况;⑥应加强伤员的心理创伤的应急干预和康复工作.
목적 분석일기비행전파사건발생경과화상관상원적상정병탐토현대종합의료구호방법.방법 대일기엄중비행전파사건적상원상정급급구처리진행회고성의학분석.결과 2007년7월6일,남방항공공사일가A330집행CZ322실니-엄주항반임무시,재고도FL350순항기간,거Molly(마니랍구역)항로점약100해리(1해리=1852 m)시,우청공단류발생엄중전파,조성궤상37인불동정도수상.기중9명위궤조승무원,점궤조성원60%;기여28명위여객,점여객인수적13%.상정이두면부화경부외상최다,기차위사지외상,이피부연조직손상위주,몰유장기손상급골절.직접치상원인위청공단류조성비궤전파후적궤계손상.사건발생후,궤조인원궤상진행초보상정학인급긴급처리.비궤강락재백운궤장후,궤장급구중심상관인원상궤초보구조급전운상원,남방항공공사항위중심공작인원진행상원분류전운,민항엄주의원급엄주당지유관의원대상원진행진일보검사급치료.이상소유배절완성급시,배합량호.상원균득도급시완선적구치,현이전부전유혹호전.결론 ①돌발적청공단류난이발현,대비행안전위협흔대;②긴급의료구원적조직관리비상중요;③비행사고의료구호적응급조직방안화의료구원능력비상관건;④대여객화궤조인원요가강안전화방호교육;⑤대수상승무원적체검감정응주의수상부위적공능회복정황;⑥응가강상원적심리창상적응급간예화강복공작.
Objective To analyze the course of flying accident and injury condition of the wounded persons,as well as to investigate the methods of modern general medical rescue. Methods A severe flying turbulence accident was analyzed retrospectively. Results On July 6th 2007,37persons were injured on flight CZ322 of China Southern Airlines from Sydney to Guangzhou,owing to severe clear air turbulence encountered at 100 miles(1 mile=1852 m)from the waypoint Molly on the flight level 350 when the aircraft was cruising.The injured persons included 9 air attendants(60% of aircrew members)and 28 passengers(13% of all passengers).The major injuries were trauma of head,face,neck,and then the trauma of limbs.Most were soft tissue injuries.Organic injury and bone fracture were not found.The reason for the injuries was mechanical injury due to severe flying clear air turbulence.The iniury condition was evaluated and emergency procedure was conducted by the aircrew immediately.The personnel from Airport Emergency Response Center went onboard for initial medical treatment and then transported injured passengers to Civil Aviation Guangzhou Hospital.and then the personnel from Aviation Medicine Center of China Southern Airlines transponed some injured passengers to regional hospitals according to their injury conditions.Civil Aviation Guangzhou Hospital and relative regional hospitals carried out comprehensive examination and medical treatment tO the injured passengers.All the injured persons had recovered due to timely treatment after the accident, quick and efficient response of related organizations and personnel.as well as good cooperation of Airport Emergence Response Center and regional hospitals.impact of the injured shall be noticed in medical treatment.