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目的比较在芦山和汶川地震伤员救治中四川大学华西医院两种不同急诊接诊、分诊流程对大规模地震伤员急诊滞留时间的影响。方法回顾性分析芦山地震后12小时内华西医院急诊科收治的65例伤员的诊治信息及在急诊科滞留时间,与汶川地震时批量伤员急诊滞留时间相对比,分析两种院内急诊接诊、分诊流程对大规模地震伤员急诊滞留时间的影响。结果芦山地震伤员按接诊、分诊流程在急诊滞留时间中位数为0.51 h,而汶川伤员在急诊滞留时间中位数为2.13 h,两者差异有统计学意义(P<0.05)。结论芦山接诊、分诊流程是对汶川地震时的接诊、分诊流程的经验总结和改进,可作为类似灾后批量伤员院内急诊接诊、分诊的参考。
Objective To compare the effects of two different emergency visits and triage procedures at Huaxi Hospital of Sichuan University on the emergency residence time of large-scale earthquake victims in the treatment of casualties in Lushan and Wenchuan Earthquakes. Methods A retrospective analysis was made on the diagnosis and treatment information of 65 wounded people in emergency department of Huaxi Hospital within 12 hours after Lushan Earthquake and the comparison of the stay time in emergency department with that of emergency ward in Wenchuan earthquake. Impact of diagnosis procedure on the resident time of emergency in large earthquake. Results The median duration of emergency visit in the Lushan earthquake was 0.51 h, while the median duration of emergency stay in Wenchuan was 2.13 h. The difference was statistically significant (P <0.05). Conclusions The procedure of admissions and triage in Lushan is a summary and improvement of the admissions and triage processes during the Wenchuan earthquake. It can be used as reference for emergency admissions and triage in batches of similar wounded patients after a disaster.