CAJ | 학술논문

目的分析“7·23”温州动车追尾事故存活伤员的损伤特点,探讨并分析事故初期伤员的救治策略.方法以事故后24h温州市各大医院救治的事故伤员为对象,收集伤员的年龄、性别、致伤部位、损伤严重程度等信息并应用创伤评分系统3.0进行分析.结果事故发生后24h温州市各大医院共收治伤员136例,年龄在2.5 ～69岁之间,男性占55.89％,女性占44.11％；主要以钝器致伤为主；存活伤员中多发伤占79.41％,实质性受伤部位以胸部为第1位、其次是四肢和脊柱；所有伤员均现场急救后直接送至就近医院.结论直接外力及惯性、离心力引起的钝器伤是存活伤员主要的致伤原因,胸部、四肢及脊柱为主要的受伤部位,对事故伤员救治初期的治疗以抢救生命、分诊和后送为主.
목적 분석“7·23”온주동차추미사고존활상원적손상특점,탐토병분석사고초기상원적구치책략.방법 이사고후24h온주시각대의원구치적사고상원위대상,수집상원적년령、성별、치상부위、손상엄중정도등신식병응용창상평분계통3.0진행분석.결과 사고발생후24h온주시각대의원공수치상원136례,년령재2.5 ～69세지간,남성점55.89％,녀성점44.11％；주요이둔기치상위주；존활상원중다발상점79.41％,실질성수상부위이흉부위제1위、기차시사지화척주；소유상원균현장급구후직접송지취근의원.결론 직접외력급관성、리심력인기적둔기상시존활상원주요적치상원인,흉부、사지급척주위주요적수상부위,대사고상원구치초기적치료이창구생명、분진화후송위주.
Objective To analyze the features of EMU survived casualties and the rescue during a head -on- rear collision between two EMU trains on 23 July 2011 (" July 23" train collision accident) at Wenzhou station.Methods The casualties treated in many major hospitals in Wenzhou were surveyed within 24 hours after the accident occurred.The data of age,gender,type of injury and injury severity of the wounded were analyzed.Results A total of 136 casualties were treated within the first 24 hours after the accident occurred,and the male patients and female patients accounted for 55.89％ and 44.11％ respectively,blunt trauma was the main cause of injuries.The percent of multiple injuries in the wounded survivals accounted for 79.41％.The most common injury site of the survived casualties was chest,followed by four limbs and spine.All the wounded were rescued on the spot and were referred to the hospitals with better medical facilities.Conclusions There was no significant difference in gender of the wounded.Blunt trauma was the leading cause of injuries,and the chest,four limbs and spine were the liable parts of body to be traumatized.Saving life,triaging and transferring the wounded as soon as possible were the major algorithm during the initial stage of medical rescue after the accident occurred.