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目的回顾性分析四川省德阳市人民医院1950例汶川地震伤员伤情,为今后建立和完善灾区一线医院医疗救援提供决策参考。方法收集该院从震后至7月12日止收治的地震伤员相关资料,分析伤员基本情况和医院总体救治情况。资料录入采用EXCEL表格,统计方法采用SPSS11.0软件,对结果做描述性分析。结果截至7月12日,该院共收治伤病员3328例,其中伤员1950例,病员1378例。住院伤员集中在震后1周内(占65.64%),震后当天住院伤员数最多(703例)。伤员主要来自绵竹、什邡和旌阳区。入院诊断前三位损伤依次为骨折(45.85%)、颅脑伤(含头面部外伤)(20.91%)和胸腹部损伤(14.69%)。共死亡48例,其中入院前死亡30例,急诊死亡10例,住院死亡8例。向二、三线医院有效外送和转运伤员441例,为全省第一家实施规模转运的医院。收治重灾区病员1378人次,下基层巡诊治疗726人次。对住院伤员和灾区居民、医护人员、武警官兵实行心理抚慰共5000余人次。结论在汶川大地震中,四川省德阳市人民医院出色地完成了地震灾区一线救治转运中心的任务,起到了紧急救治中的关键枢纽作用。
Objective To retrospectively analyze the injuries of the 1950 Wenchuan Earthquake victims in Deyang People’s Hospital of Sichuan Province and to provide a reference for the future establishment and improvement of medical rescue in first-line hospitals in disaster-stricken areas. Methods The data of the earthquake wounded in the hospital from the earthquake to July 12 were collected, and the basic condition of the wounded and the general treatment of the hospital were analyzed. Data entry using EXCEL form, statistical methods using SPSS11.0 software, the results of descriptive analysis. Results As of July 12, the hospital received a total of 3328 cases of wounded and sick, of which 1950 cases of wounded, 1378 cases of patients. The hospitalized wounded mainly concentrated within 1 week after the earthquake (65.64%), and the largest number of hospitalized wounded (703 cases) on the day after the earthquake. The wounded mainly from Mianzhu, Shifang and Jingyang District. The first three diagnoses of admission were fractures (45.85%), head trauma (20.91%) and thoracoabdominal injuries (14.69%). A total of 48 deaths, including 30 deaths before admission, emergency death in 10 cases, 8 cases of hospitalized deaths. 441 cases were effectively delivered and transported to the second and third line hospitals, which is the first hospital to implement the scale transfer in the province. Disadvantaged patients admitted 1378 people, under the grass-roots tour 726 treatment trips. On the hospital wounded and disaster area residents, medical staff, armed police officers psychological comfort of a total of more than 5000 person-time. Conclusion During the Wenchuan earthquake, Deyang People’s Hospital of Sichuan Province accomplished the task of first-line rescue and transshipment center in the earthquake stricken area and played a key pivotal role in emergency treatment.