中国危重病急救医学
中國危重病急救醫學
중국위중병급구의학
CHINESE CRITICAL CARE MEDICINE
2012年
11期
655-657
,共3页
岳茂兴%夏锡仪%李瑛%卞晓星%郑琦涵%尹进南%赵晓成%蔡爱敏
嶽茂興%夏錫儀%李瑛%卞曉星%鄭琦涵%尹進南%趙曉成%蔡愛敏
악무흥%하석의%리영%변효성%정기함%윤진남%조효성%채애민
狭窄空间%医学应急救援%伤亡率
狹窄空間%醫學應急救援%傷亡率
협착공간%의학응급구원%상망솔
Confined space%Medical emergency rescue%Mortality
目的 探讨狭窄空间事故的特点及医学应急救援策略.方法 回顾性分析2009年6月至2012年7月参加5起狭窄空间事故现场医学应急救援的情况,分析36例患者的救治结果.结果 5起狭窄空间事故中4起因建筑物坍塌造成29例身处狭窄空间中,1起因某地通天塔里炼铁炉损坏,造成7人被困狭窄空间,致使煤气和硫化氢严重中毒.共致伤36例,被救出时间最短1.5 h,最长达10.5 h；死亡14人,伤亡率38.89％.狭窄空间事故的特点是:伤员活动环境十分恶劣；活动特别受限制；被救助者的伤病多样性；被救助者的心理压力十分普遍;狭窄空间环境和伤员疾病复杂性决定了其医学救援的特殊性,较正常的外伤急救医疗有很大的区别.结论 狭窄空间意外事故可造成惨痛的人员伤亡,其根本的原因就在于相关人员未能清楚认识到狭窄空间内部或邻近区域存在的危险或潜伏的危险,使得狭窄空间成为一个又一个“安静的杀手”.需引起大家的高度重视.
目的 探討狹窄空間事故的特點及醫學應急救援策略.方法 迴顧性分析2009年6月至2012年7月參加5起狹窄空間事故現場醫學應急救援的情況,分析36例患者的救治結果.結果 5起狹窄空間事故中4起因建築物坍塌造成29例身處狹窄空間中,1起因某地通天塔裏煉鐵爐損壞,造成7人被睏狹窄空間,緻使煤氣和硫化氫嚴重中毒.共緻傷36例,被救齣時間最短1.5 h,最長達10.5 h；死亡14人,傷亡率38.89％.狹窄空間事故的特點是:傷員活動環境十分噁劣；活動特彆受限製；被救助者的傷病多樣性；被救助者的心理壓力十分普遍;狹窄空間環境和傷員疾病複雜性決定瞭其醫學救援的特殊性,較正常的外傷急救醫療有很大的區彆.結論 狹窄空間意外事故可造成慘痛的人員傷亡,其根本的原因就在于相關人員未能清楚認識到狹窄空間內部或鄰近區域存在的危險或潛伏的危險,使得狹窄空間成為一箇又一箇“安靜的殺手”.需引起大傢的高度重視.
목적 탐토협착공간사고적특점급의학응급구원책략.방법 회고성분석2009년6월지2012년7월삼가5기협착공간사고현장의학응급구원적정황,분석36례환자적구치결과.결과 5기협착공간사고중4기인건축물담탑조성29례신처협착공간중,1기인모지통천탑리련철로손배,조성7인피곤협착공간,치사매기화류화경엄중중독.공치상36례,피구출시간최단1.5 h,최장체10.5 h；사망14인,상망솔38.89％.협착공간사고적특점시:상원활동배경십분악렬；활동특별수한제；피구조자적상병다양성；피구조자적심리압력십분보편;협착공간배경화상원질병복잡성결정료기의학구원적특수성,교정상적외상급구의료유흔대적구별.결론 협착공간의외사고가조성참통적인원상망,기근본적원인취재우상관인원미능청초인식도협착공간내부혹린근구역존재적위험혹잠복적위험,사득협착공간성위일개우일개“안정적살수”.수인기대가적고도중시.
Objective To investigate the characteristics of the confined space accident and its medical rescue strategy.Methods Thirty-six patients with emergency rescue in the five confined space accident during June 2009 to July 2012 were retrospectively analyzed.Results Twenty-nine people were caught in four confined space accidents caused by building collapse and 7 people were caught in one confined space accident caused by a tower of babel blast furnace damage which caused severe gas and hydrogen sulfide poisoning.For the 36 wounded,the shortest rescue time was 1.5 hours and the longest was 10.5 hours.Fourteen people were killed (mortality rate 38.89％).Characteristics of the confined space accident:the wounded activity environment was very harsh,the wounded were restricted particularly,the wounded injuries were diverse,the psychological depression was very common.The confined space environment and the complexity of wounded disease determined its medical rescue specificity and were very different from the usual trauma emergency.Conclusions Confined space accident caused very painful casualties.The key reason is that the relevant personnel failed to clearly recognize the potential risks in the confined space or nearby,making the confined space into another "quiet killer".This problem needs to be paid highly attention.
