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目的为了更为全面地认识地震中儿童伤员的临床特征和救治状况,总结地震中儿童伤员救治经验。方法收集四川大学华西医院2013年芦山地震和2008年汶川地震中收治的儿童伤员的临床信息,分析比较两次地震中儿童伤员的有关数据。结果截至2013年4月30日,该院共收治了芦山地震14岁以下伤员34人。与汶川地震的数据比较,芦山地震儿童伤员的年龄更小(P<0.01),地震到入院的平均时间更短(P<0.01)。芦山地震中,67.6%的伤员有不同程度的肢体骨折,儿童颅脑损伤比例明显高于汶川地震(29.4%vs 9.5%,P<0.05)。芦山地震收治患儿没有截肢,没有死亡,13位极危重症和重症儿童伤员均顺利进入康复阶段。结论芦山地震儿童伤员中重症患儿及颅脑损伤患儿比例较高,但治疗转归较好,这可能与及时的现场救援和转运及多部门、多级医疗机构、多学科的通力合作有关。
Objective To comprehensively understand the clinical characteristics and treatment status of children wounded in earthquakes and summarize the experiences of treating children wounded in earthquakes. Methods The clinical information of children wounded in West Lhasa Hospital of Sichuan University during 2013 Lushan Earthquake and 2008 Wenchuan Earthquake were collected and analyzed to compare the data of children wounded in two earthquakes. Results As of April 30, 2013, the hospital treated 34 people under the age of 14 under the Lushan Earthquake. Compared with the data of the Wenchuan earthquake, the casualties of children in Lushan earthquake were younger (P <0.01) and the average time from admission to earthquake was shorter (P <0.01). In the Lushan earthquake, 67.6% of the wounded had different degrees of limb fractures, and the proportion of children with brain trauma was significantly higher than that of the Wenchuan earthquake (29.4% vs 9.5%, P <0.05). There were no amputations and no deaths in children admitted to the Lushan earthquake. Thirteen critically ill and critically ill children successfully entered the rehabilitation phase. Conclusion The proportion of children with severe traumatic brain injury and head injury in Lushan earthquake was higher than that of children with traumatic brain injury, but the prognosis of treatment was better. This may be related to prompt rescue and transport on site and multidisciplinary and multi-level medical institutions with multidisciplinary cooperation .