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目的:分析汶川地震灾后地震伤员眼科专业相关伤情特点以及伴发伤特点,为处理类似大规模灾难事件提供基础资料。方法:收集汶川地震后绵阳地区及周边4个受灾严重的区市县11家大中型医院(含外援医疗队)诊治地震伤员的眼科相关伤情,对其受伤特点和处置预后进行综合分析。结果:11家医院共诊治眼科专业相关患者226例,前四位排序为:结膜下出血、眼附属器损伤、眼眶骨折、远达性视网膜损伤,常见伴发疾病为颅脑外伤、挤压综合症、耳鼻喉外伤。经及时治疗大部分治愈,仅10例患者遗留功能障碍。结论:高烈度地震灾害在现代有其自身特点,建立灾后相关伤情疾病谱对于处理类似突发公共卫生事件中及时高效抢救和安排资源分配具有重要意义。
OBJECTIVE: To analyze the characteristics of the injury related to ophthalmology and the characteristics of the associated injuries in the earthquake wounded people after Wenchuan earthquake, and provide the basic information for handling similar large-scale disaster events. Methods: The ophthalmological injuries of 11 large and medium-sized hospitals (including foreign aid medical teams) in the four severely affected districts and counties in Mianyang area and surrounding areas were collected to diagnose and deal with the injury of the earthquake victims. The injury characteristics and prognosis were analyzed. Results: A total of 226 ophthalmology-related patients were diagnosed and treated in 11 hospitals. The top four were as follows: subconjunctival hemorrhage, ocular adnexal injury, orbital fracture, astigmatism and retinal damage. The common concomitant diseases were traumatic brain injury, Disease, ENT trauma. Most of the treatment was cured promptly, only 10 patients left dysfunction. Conclusion: High-intensity earthquake disaster has its own characteristics in modern times. Establishing the disaster-related disease spectrum is of great significance for timely and efficient rescue and resource allocation in similar public health emergencies.