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目的探讨公交车爆炸伤伤员的伤情特点及急救和治疗方法。方法回顾分析二起公交车爆炸伤87例伤员的伤情特点和处理方法。结果本组87例伤员,9人当场炸死,3人后送途中死亡,18人门诊观察数日回家,57人住院治疗,其中除2例3肢骨缺损行二期植骨术,2例胫神经损伤二期行神经修复术外,其余病人均痊愈出院。结论爆炸伤病人伤情重且复杂,多为复合伤,死亡率高,接收成批伤员,应做好院前抢救和分类工作,分轻重缓急安排好抢救、治疗及手术。
Objective To investigate the characteristics of injuries and the methods of first aid and treatment of explosive casualties in buses. Methods A retrospective analysis of two cases of explosive injury in buses from injuries and treatment of 87 cases of injuries. Results 87 patients were killed in this group, 9 were killed on the spot, 3 were evacuated on the way to death, 18 were outpatient observation a few days back home, 57 were hospitalized, of which 2 cases of 3 limb defects were treated with two-stage bone graft, 2 Cases of tibial nerve injury in the second phase of nerve repair, the remaining patients were cured and discharged. Conclusion The patients with explosive injuries were heavy and complicated, mostly with multiple injuries. The death rate was high. Patients receiving batches of casualties should be rescued and classified before hospitalization. Rescue, treatment and operation should be arranged according to their priorities.