CAJ | 학술논문

目的：总结中国政府应急医疗队2013年11月赴菲律宾“海燕”台风灾区医学救援的经验和不足。方法分析中国政府应急医疗队援菲医学救援行动，对援菲实践和经验进行评估。结果医疗队10天内累计接诊1831人，门诊和急诊达2144人次；同时根据灾后风险快速评估，重点针对虫媒传染病、消化道疾病、医院感染等主要疾病风险采取环境清理、消毒杀虫、饮用水消毒净化和医院感染控制等卫生防疫措施。本次援救虽取得圆满成功，但也暴露出保障人员匮乏、应急保障专业化程度偏低、远距离投送能力薄弱和缺少统一的国家灾害医学救援信息系统等问题。结论完善的组织管理、高素质的医疗队员、因地制宜制定工作方案、后勤保障物资准备充足以及信息传输渠道通畅是救援行动取得成功的重要因素。建议在国家层面组建几支具有国际救援能力的医学救援常备队伍。
목적：총결중국정부응급의료대2013년11월부비률빈“해연”태풍재구의학구원적경험화불족。방법분석중국정부응급의료대원비의학구원행동，대원비실천화경험진행평고。결과의료대10천내루계접진1831인，문진화급진체2144인차；동시근거재후풍험쾌속평고，중점침대충매전염병、소화도질병、의원감염등주요질병풍험채취배경청리、소독살충、음용수소독정화화의원감염공제등위생방역조시。본차원구수취득원만성공，단야폭로출보장인원궤핍、응급보장전업화정도편저、원거리투송능력박약화결소통일적국가재해의학구원신식계통등문제。결론완선적조직관리、고소질적의료대원、인지제의제정공작방안、후근보장물자준비충족이급신식전수거도통창시구원행동취득성공적중요인소。건의재국가층면조건궤지구유국제구원능력적의학구원상비대오。
Objective To summarize the medical rescue work of China emergency medical team in Philippines disaster area by typhoon Haiyan.Methods The rescue experience was summarized by retrospective study.Results A total of 1 831 patients visited the outpatient and emergency departments during those 10 days.According to the rapid risk assessment,the insect borne diseases,acute gastroenteritis infection and hospital infection were the major problems.The medical team took measures such as disinfection,vector control,cleaning up the environment,hospital infection control and providing the safe water to prevent the infectious diseases.Conclusion A sound organization and management system,high -quality members of the medical team,preparing the reasonable rescue plan and epidemic prevention measures,adequate supplies and effective communication were responsible for the success of the medical rescue.It is necessary to establish several international medical rescue teams at the national level.