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目的 分析芦山7.0级地震手术伤员特征,以期为政府部门制定相关政策提供决策参考.方法 收集四川省各医院收治的芦山地震手术伤员信息.按照性别变量分别统计手术伤员来源地、震后实施手术时间、受伤部位.按照来源地对伤员震后实施手术时间进行分类统计.统计描述中分类资料采用频数和构成比描述,定量资料采用(X)±SD进行描述.所有数据分析采用SPSS 13.0软件处理.结果 共收集到975例手术伤员,其中男性586例(占60.10％),女性389例(占39.90％);手术伤员平均年龄40.42±20.06岁.手术伤员中雅安市开展手术例数最多,震后前3天开展手术比例为53.85％,震后4～7天开展手术比例为41.03％,震后1周内手术开展比例为94.88％.震后3天内开展手术例数最多的是雅安市,震后4～7天开展手术例数最多的是省直、卫生部驻川医疗机构.芦山手术伤员中踝和足损伤所占比例最高,其次是腹部、下背、腰椎和骨盆损伤,再次是膝和小腿损伤,然后是头部损伤.结论在面对地震等类似自然灾害时,医疗系统应及时建立合理有效的医疗应急救援机制和预案,建立科学合理的分诊机制,以骨科、外科为主的多学科专业领域应提前准备好急救设备和急救药品,使医疗资源配置合理化,从而达到医疗资源利用效率的最大化,最大程度降低伤员的致残率和死亡率,为更多伤员赢得宝贵的手术救治时间.“,”Objective To analyze the cases of surgical wounded characteristics after Lushan county 7.0 earthquake for government departments to formulate relevant policies to provide references for future decision-making.Methods The data of surgical wounded were collected from various hospitals in Sichuan province.Origin,operation time and the injured area were counted according to gender and operation time was counted according to origin.In the descriptive statistics the frequencies and proportions were used to describe categorical data and (X)±SD was used to describe quantitative data.SPSS 13.0 software was used to analyze the data.Results A total of 975 cases of surgical wounded included 586 cases of male (accounting for 60.10％) and 389 cases of female (accounting for 39.90％).The average age of the surgical wounded was 40.42±20.06 years.Ya'an city had completed the largest number of surgical cases.Medical institutions completed 53.85 percent of the surgery in the first three days,41.03 percent of the surgery from four days to seven days after the earthquake.They completed 94.88 percent of surgery in one week after the earthquake.Ya'an city was the largest city in the number of surgical cases within 3 days after the earthquake.Medical institutions directly under the province and the Ministry of Health medical institutions in Sichuan were the largest medical institutions in number of surgical cases from four days to seven days after the earthquake.The largest number of cases was wounded ankle and foot injuries,followed by the abdomen,lower back,lumbar spine and pelvis injuries,once again the knee and calf injuries,and finally the head injury.Conclusion In the face of natural disasters like earthquakes,the health care system should establish a reasonable and effective medical emergency response mechanisms and plans,and establish a scientific and rational triage mechanism.Multi-disciplines such as orthopedics and surgery should be ready ahead of first aid equipment and emergency medicine,so as to rationalize the allocation of medical resources,achieve maximum utilization of medical resources,reduce morbidity and mortality,and save surgical treatment time for more wounded.