CAJ | 학술논문

目的：了解芦山地震住院病员入院时生命体征和创伤分类情况，为应对重大灾害、救治大规模伤病员提供依据。方法采用“军卫一号”医院信息系统和自编“4．20四川芦山地震住院病员调查表”，收集整理芦山地震医疗救援期间，成都军区总医院收治的住院病员资料。采用SPSS16．0软件对住院病员生命体征和创伤分类数据进行统计分析。结果全院累计收治65名地方病员；男30例，占46．15％，女35例，占53．85％；平均年龄（45．74±20．96）岁。病员入院时体温、脉搏、呼吸频率、收缩压和舒张压异常率分别为18．46％、6．15％、21．54％、12．31％、23．08％。全部病员闭合型损伤48例（73．85％），开放型17例（26．15％）。伤势情况：轻伤8例（12．31％）、中度伤17例（26．15％）、重伤32例（49．23％）、危重伤8例（12．31％）。前4位伤部为：腰（腹）部及骨盆（会阴）伤33例，占50．77％；下肢伤31例，占47．69％；胸（背）伤18例，占27．69％；面部伤10例，占15．38％。全部病员中皮肤及软组织伤39例，占60．00％；骨折38例，占58．46％。结论通过分析该院芦山地震住院病员入院生命体征和创伤分类，发现了一些地震病员流行病学特征，期望能引起相关学者和部门的注意。
목적：료해호산지진주원병원입원시생명체정화창상분류정황，위응대중대재해、구치대규모상병원제공의거。방법채용“군위일호”의원신식계통화자편“4．20사천호산지진주원병원조사표”，수집정리호산지진의료구원기간，성도군구총의원수치적주원병원자료。채용SPSS16．0연건대주원병원생명체정화창상분류수거진행통계분석。결과전원루계수치65명지방병원；남30례，점46．15％，녀35례，점53．85％；평균년령（45．74±20．96）세。병원입원시체온、맥박、호흡빈솔、수축압화서장압이상솔분별위18．46％、6．15％、21．54％、12．31％、23．08％。전부병원폐합형손상48례（73．85％），개방형17례（26．15％）。상세정황：경상8례（12．31％）、중도상17례（26．15％）、중상32례（49．23％）、위중상8례（12．31％）。전4위상부위：요（복）부급골분（회음）상33례，점50．77％；하지상31례，점47．69％；흉（배）상18례，점27．69％；면부상10례，점15．38％。전부병원중피부급연조직상39례，점60．00％；골절38례，점58．46％。결론통과분석해원호산지진주원병원입원생명체정화창상분류，발현료일사지진병원류행병학특정，기망능인기상관학자화부문적주의。
Objective To understand the vital signs on admission time and traumatic classification of the inpatients injured in Lushan Earthquake ,and provide a basis evidence for handling major disasters and treating masses of injured patients .Methods The information of patients injured in Lushan Earthquake who were admitted in Chengdu Military General Hospital was collected by“No .1 Military Medical Project” hospital information system and self-edited “Questionnaire for Hospitalized Patients Injured in 4 .20 Lushan Earthquake” .The data of the vital signs on admission time and traumatic classification of these patients were analyzed by SPSS 16 .0 .Results A total of 65 civilian patients were admitted in this hospital .Among these patients ,there were 30 men (46 .15% )and 35 women(53 .85% );with mean age of(45 .74 ± 20 .96)years old .On admission time ,the abnormal rates of tempera-ture ,pulse ,respiratory rate ,systolic pressure ,diastolic pressure of these patients were 18 .46% ,6 .15% ,21 .54% ,12 .31% and 23 .08% ,respectively .48(73 .85% )patients had closed injury .Traumatic condition:8(12 .31% )patients in mild degree ,17(26 .15% ) patients in moderate degree ,32 patients(49 .23% )patients in severe degree and 8(12 .31% )patients in critical degree .The top 4 traumatic parts were as follows :33(50 .77% )patients got waist(abdomen)division and pelvis(perineum);31(47 .69% )patients got lower limb injuries;18(27 .69% )patients got chest and back injuries and 10(15 .38% )patients got facial injuries .There were 39 skin and soft tissue injuries ,counting for 60 .00% ,and 38 fractures ,counting for 58 .46% .Conclusion The epidemiological characteris-tics of earthquake injuries are founded by analyzing the vital signs on admission time and traumatic classification of the inpatients in-jured in Lushan earthquake ,which suggests attention of the relevant scholars and departments .