论文部分内容阅读
目的探讨综合性医院的灾害救援的规律和存在问题。方法回顾性总结分析综合性医院急救中心对疫期发热病人,光气泄漏事件和公交车爆炸事故的的救治过程。结果疫期发热需医学观察病例69例均治愈出院,平均住院天数4±2.6d,住院期间均按非典病例进行排查及鉴别诊断。光气泄漏事件561例患者中有临床症状的410例,其中343例胸片显示有不同程度的肺纹理增多增粗等改变,经治疗331例均有不同程度的吸收,12例无吸收但也无明显的进展,2例患者肺部并发感染,所有患者均治愈出院。公交车内爆炸事故伤者在我院治疗的29例均治愈出院,无发生死亡。开放性骨折并发骨髓炎1例;眼球贯通伤者视力丧失;鼓膜损伤者听力均大部分恢复;尺神经损伤1例拒绝2期手术;肺爆震伤3例均恢复良好。结论改进和提高灾害应急反应能力及医学救援水平,现场组织管理是关键,科学制定预案是前提,全面救治和重点救治相结合的一体化和互助式治疗是保证。
Objective To explore the rules and problems of disaster relief in general hospitals. Methods The retrospective analysis of general hospital emergency center on the febrile patients, phosgene leakage and bus explosion accident rescue process. Results All the 69 cases of epidemic fever were cured and discharged, the average length of stay was 4 ± 2.6d. During the hospitalization period, all the cases were investigated and diagnosed as atypical pneumonia. There were 410 clinical symptoms in 561 cases of phosgene leaks, of which 343 cases showed varying degrees of lung enhancement and thickening. After treatment, 331 cases had different degrees of absorption, while 12 cases had no absorption but No significant progress, 2 patients with pulmonary infection, all patients were cured and discharged. All 29 patients who were injured in the bus bombings were cured and discharged without any deaths. Open fractures complicated by osteomyelitis in 1 case; ocular penetrating injuries visual loss; most of the tympanic membrane damage were recovered; ulnar nerve injury in 1 case refused surgery 2; blast detrusor injury in 3 cases were recovered well. Conclusion The improvement and improvement of disaster response capacity and medical rescue level are the key to on-site organization and management. It is a prerequisite for the scientific plan to be formulated. It is a guarantee that the integrated and mutual-aid treatment combining comprehensive treatment and key treatment should be ensured.