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目的通过分析“4.20”芦山地震72小时内德阳市人民医院收治的25例地震伤员的伤情特点、救治过程和效果,探讨在灾难救援中如何更好应用应急预案实施医学救援。方法收集四川省德阳市人民医院在2013年4月20日～4月23日收治的25例地震伤员资料,分析伤员年龄、性别、受伤部位、各年龄组受伤情况和伤员转归。结果 25例伤员共出现32处损伤,其中20例(80%)伤员为单个部位伤,5例(20%)为多部位伤。伤员多为四肢损伤、体表和软组织损伤,单个部位伤明显多于多部位伤。入院伤员人数在震后第1天最多,占92.00%,明显多于震后2～3天。19～45岁年龄组伤员多于其他年龄组。结论科学的急救指挥体系和灾害应急预案在灾害救援中发挥了重要作用,缩短了应急反应时间,提升了灾害应急救援能力。只有加强广大群众对灾害应急预案和联合演练的宣传教育,同时保障灾区通讯和交通畅通,以及社会多方面的共同协作努力,才能提高自救和对灾区有序的综合救援能力。
Objective By analyzing the injury characteristics, treatment process and effect of 25 earthquake victims treated by Deyang Municipal People ’s Hospital within 72 hours of “4.20 ” Lushan Earthquake, and discussing how to better use emergency plan to implement medical rescue in disaster relief. Methods 25 cases of earthquake casualties in Deyang People ’s Hospital of Sichuan Province collected from April 20 to April 23, 2013 were collected. The age, gender, location of injuries, injuries in all age groups and the outcome of casualties were analyzed. Results A total of 32 lesions were found in 25 cases. Among them, 20 (80%) were single-site injuries and 5 (20%) were multi-site injuries. Wounded mostly limbs, body surface and soft tissue injury, a single site was significantly more injuries than multi-site injury. The number of hospitalized wounded in the first day after the earthquake up, accounting for 92.00%, significantly more than 2 to 3 days after the earthquake. The 19-45 age group had more casualties than the other age groups. Conclusion The scientific first aid command system and disaster contingency plan play an important role in disaster relief, shorten the emergency response time and enhance the ability of disaster emergency rescue. Only by strengthening the mass publicity and education on disaster contingency plans and joint exercises, while ensuring the smooth communication and traffic flow in disaster areas and the concerted efforts of all sectors of society, can self-help and orderly comprehensive rescue capabilities be enhanced.