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汶川地震老年伤员的治疗对策
Hits: 2268   Download times: 1503   Received:July 29, 2008    
作者Author单位UnitE-Mail
付青格 FU Qing-ge 第二军医大学附属长海医院骨科,上海 200433 Department of Orthopaedics,the Affiliated Changhai Hospital of the Second Military Medical University,Shanghai 200433,China  
张春才 ZHANG Chun-cai 第二军医大学附属长海医院骨科,上海 200433 Department of Orthopaedics,the Affiliated Changhai Hospital of the Second Military Medical University,Shanghai 200433,China  
王志伟 WANG Zhi-wei 第二军医大学附属长海医院骨科,上海 200433 Department of Orthopaedics,the Affiliated Changhai Hospital of the Second Military Medical University,Shanghai 200433,China  
苏佳灿 SU Jia-can 第二军医大学附属长海医院骨科,上海 200433 Department of Orthopaedics,the Affiliated Changhai Hospital of the Second Military Medical University,Shanghai 200433,China  
许硕贵 XU Shuo-gui 第二军医大学附属长海医院骨科,上海 200433 Department of Orthopaedics,the Affiliated Changhai Hospital of the Second Military Medical University,Shanghai 200433,China  
曹烈虎 CAO Lie-hu 第二军医大学附属长海医院骨科,上海 200433 Department of Orthopaedics,the Affiliated Changhai Hospital of the Second Military Medical University,Shanghai 200433,China  
刘欣伟 LIU Xin-wei 第二军医大学附属长海医院骨科,上海 200433 Department of Orthopaedics,the Affiliated Changhai Hospital of the Second Military Medical University,Shanghai 200433,China  
李卓东 LI Zhuo-dong 第二军医大学附属长海医院骨科,上海 200433 Department of Orthopaedics,the Affiliated Changhai Hospital of the Second Military Medical University,Shanghai 200433,China  
期刊信息:《中国骨伤》2008年21卷,第10期,第735-736页
DOI:doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz


目的:探讨汶川地震伤后送老年伤员的治疗对策。

方法:回顾性分析地震后我院收治的14例老年伤员的伤情特点与救治方法。

结果:经过4~8周的处理,14例老年伤员均获得有效治疗。所有伤员预后良好,无麻醉及手术并发症,均无下肢深静脉血栓形成、坠积性肺炎、肺栓塞、褥疮、脑卒中等并发症,出院时合并的内科疾患得到有效控制,心理状况良好,营养状况明显好转。

结论:对老年伤员的伤情与全身状态评估,小组方式的治疗护理与康复,积极营养支持,根据伤情积极对症处理,辅以必要的心理干预,是提高老年地震伤员疗效的关键。
[关键词]:自然灾害  地震  老年人  临床方案
 
Treatment of the aged wounded patients evacuated from Wenchuan earthquake area
Abstract:

Objective: To explore the therapeutic strategies of the aged wounded patients evacuated from Wenchuan earthquake area.

Methods: The characteristics of traumatic conditions and therapeutic methods of 14 aged wounded patients evacuated from Wenchuan earthquake area were retrospectively analyzed.

Results: All cases accepted the effective treatment for 4 to 8 weeks and attained good recovery. There was no anesthetic and surgical complications,deep venous thrombosis,hypostatic pneumonia,pulmonary embolism,bed sore,stroke and other complications happened. When discharged,all medical disorders of the patients were under control and both psychological condition and nutritional status were improved obviously.

Conclusion: Assessment of traumatic condition and general status,cooperative nursing,active nutritional support,positive symptomatic treatment and necessary psychological intervention are the key to improve effectively the curative effect of the aged wounded patients in earthquake.
KEYWORDS:Natural disasters  Earthquake  Aged people  Clinical protocols
 
引用本文,请按以下格式著录参考文献:
中文格式:付青格,张春才,王志伟,苏佳灿,许硕贵,曹烈虎,刘欣伟,李卓东.汶川地震老年伤员的治疗对策[J].中国骨伤,2008,21(10):735~736
英文格式:FU Qing-ge,ZHANG Chun-cai,WANG Zhi-wei,SU Jia-can,XU Shuo-gui,CAO Lie-hu,LIU Xin-wei,LI Zhuo-dong.Treatment of the aged wounded patients evacuated from Wenchuan earthquake area[J].zhongguo gu shang / China J Orthop Trauma ,2008,21(10):735~736
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