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目的回顾分析2015年尼泊尔地震初期,成都军区国家应急医疗队赴加德满都组建临时创伤救治中心的药品携带和使用情况,以期为今后制定重大自然灾害医疗救援队境外救援应急药品预案提供参考。方法将国家应急医疗队携带的103个药品(规格)分为5个大类:外用药品、口服药品、注射药品、手术室药品、消毒剂以及大输液,统计分析单种药物患者消耗情况、医疗队员消耗情况、赠与当地机构情况及带回情况,并根据患者消耗率排序,以判断该药品的携带是否合理。结果临时创伤救治中心在18天内一共接诊267人次,清创缝合132人次,收治入院71人,完成复杂手术35台。所使用药品除1个品种在当地补充外,其余药品均由医疗队从国内携带。有20个药品患者消耗率为100%,37个药品的患者消耗率>70%,60个药品的患者消耗率>50%。结论 2015年尼泊尔抗震救灾成都军区国家应急医疗队携带的药品品种和数量都较为合理,可为未来重大自然灾害医疗救援队境外救援提供参考。医疗救援药品应急预案的基本组成应根据救援任务的不同来进行选择,同时参考当地气候、自然环境进行小范围调整。
Objective To review and analyze the carrying and using of the temporary emergency medical team of the Chengdu Military Region in setting up a temporary trauma center in Kathmandu in the early stage of the Nepali Earthquake in 2015 in order to provide a reference for the formulation of emergency rescue plans for major natural disaster medical rescue teams in the future. Methods The 103 medicines (specifications) carried by the national emergency medical team were divided into five categories: external medicine, oral medicine, injection medicine, operating room medicine, disinfectant and large infusion. Statistical analysis was made on the consumption of single medicine, medical treatment The consumption of team members, the donation of local institutions and the situation brought back, and according to the patient rate of consumption to sort to determine whether the drug carrier is reasonable. Results The temporary trauma center received a total of 267 visits in 18 days, 132 debridement and sutures, admitted to hospital 71, completed 35 complicated operations. In addition to a variety of drugs used in the local supplement, the remaining drugs are carried by the medical team from the country. 20 drug patients consumed 100%, 37 drugs consumed> 70%, and 60 drugs consumed> 50%. Conclusion In 2015, the varieties and quantities of drugs carried by the National Emergency Medical Team in the Chengdu Military Region of Nepal for Earthquake Relief Relief were relatively reasonable, which could provide reference for overseas rescue of major natural disaster medical rescue teams in 2015. The basic composition of medical rescue drug emergency plan should be based on the different rescue missions to choose, at the same time with reference to the local climate, the natural environment for small-scale adjustments.