| 地震致骨折的伤情分析与治疗 |
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Received:July 30, 2008
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| 作者 | Author | 单位 | Unit | E-Mail |
| 丁宇 |
DING Yu |
海军总医院医疗队，北京 100037 |
Department of Orthopaedics,Navy General Hospital,Beijing 100037,China |
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| 孙涛 |
SUN Tao |
海军总医院医疗队，北京 100037 |
Department of Orthopaedics,Navy General Hospital,Beijing 100037,China |
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| 王鹏建 |
WANG Peng-jian |
海军总医院医疗队，北京 100037 |
Department of Orthopaedics,Navy General Hospital,Beijing 100037,China |
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| 向建华 |
XIANG Jian-hua |
海军总医院医疗队，北京 100037 |
Department of Orthopaedics,Navy General Hospital,Beijing 100037,China |
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| 张茂昌 |
ZHANG Mao-chang |
青白江区人民医院骨科 |
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| 李永 |
LI Yong |
攀成钢青白江医院骨科 |
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| 期刊信息：《中国骨伤》2008年21卷，第10期，第742-743页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的：分析地震致骨折伤员的伤情，总结救治经验，探讨战时前线医疗救治模式。
方法：在对四川省汶川县特大地震灾害的骨折伤员现场救治中，采集相关临床资料，统计分析伤情，观察手术伤员的临床疗效，验证军地医疗机构联合救治模式的合理性。
结果：①收治住院骨折伤员236例，四肢骨折占81.3%,多发骨折占11.4%,开放性骨折占10.6%.②手术伤员55例，术后功能明显改善者达65.5%,无术后感染及截肢病例。③辅以心理疏导，患者均能配合临床治疗，术后短期内功能恢复程度与平时骨折伤员无明显差异。
结论：①本次地震危害大，伤员量大、病情较重，以四肢骨折为主，救治过程中应重视全身情况。②医疗队与当地医院合作，进行联合救治，应该视为一种全新的卫勤实践与理念，具有一定优越性。③心理疏导为伤员术后康复提供了有力保障。 |
| [关键词]:地震 自然灾害 骨折 临床方案 |
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| Analysis of fracture conditions and therapeutic experiences of earthquake casualties |
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Abstract:
Objective: To analyze the fracture conditions of earthquake casualties,summarize the therapeutic experiences and explore the frontier treatment model.
Methods: The clinical data of spot treatment of fracture patients in Wenchun earthquake were collected and analyzed to observe the therapeutic effects of operative patients and to verify the rationality of the cooperated remedy model of unified military and civilian hospitals.
Results: Among 236 fracture patients admitted in hospital,there were patients with extremities fractures in 81.3%,multiple fractures in 11.4% and open fractures in 10.6%. In all 55 patients underwent surgical treatment,the functional improvement rate was 65.5% and no infection or amputation happened. Supported by psychological aids,all patients were coordinated with treatment and the short-term outcome was parallel with that of ordinary fracture cases.
Conclusion: The general conditions of patients should be paid more attention to during the treatment procedure of fractures because of the great quantity of casualties and severe traumatic conditions in Wenchun earthquake. The cooperated remedy model of unified military and civilian hospitals should be regarded as a new sanitation service practice with certain advantages. Psychological aids can provide strong support for the patients' postoperative rehabilitation. |
| KEYWORDS:Earthquake Natural disasters Fracture Clinical protocols |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 丁宇,孙涛,王鹏建,向建华,张茂昌,李永.地震致骨折的伤情分析与治疗[J].中国骨伤,2008,21(10):742~743 |
| 英文格式: | DING Yu,SUN Tao,WANG Peng-jian,XIANG Jian-hua,ZHANG Mao-chang,LI Yong.Analysis of fracture conditions and therapeutic experiences of earthquake casualties[J].zhongguo gu shang / China J Orthop Trauma ,2008,21(10):742~743 |
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