玉树地震后转入甘肃省地震伤员流行病学调查(1)
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2010年12月1日
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[摘要]目的了解玉树地震后转入甘肃省地震伤员的特点。方法2010年4月 15 日18时28分 ～4月30日 16时50分甘肃省共接受玉树转入伤员338例，医护人员根据伤员性别、年龄、民族、|来诊时间和方式、进行伤情判断并应用损伤严重程度计分法(injury severity score,ISS)进行评分。对以上资料运用SPSS10.0软件包进行统计学分析。结果 4月15转入110人，4月16日转入136 人，4月22日转入75人。震后第 1日、第2日、第8日行成3个转入高峰。地震后第2天来院的伤员的ISS评分最高，为( 10.16±6.93)分，第 1天、第 8天分别为(8.12±4.76)分、(6.16±4.23)，第 2天伤员的ISS评分与第1 天相比差异具有统计学意义(P<0.05)，第8天与第2天差异具有统计学意义(P<0.05).结论 地震发生后第2天的病员伤情最重转入人数最多。
[关键词]地震；伤员特点
[中图分类号] R181.2 [文献标识码]A [文章编号] 1005-0515(2010)-12-019-02
The earthquake patients，characteristics in Gansu province:1n investigation from Qinghai Yushu Earthquake, China
CHEN Honggang ,YANG Rongjia
(The People，s Hospital Of Gansu Province,Lanzhou 730000, China)
[Abstract]ObjectiveTo studypatients,characteristics from Yushu Earthquake .MethodTotally 338patients from Yushu Earthquake were received by the hospitals in Gansuprovince between 18:281pril 15th ,2010and 16:501pril 30th,2010. The patients were recorded the detailed names ,age, nationalties ,time1nd way to Gansu. Injury severity score(ISS) wased used to judge the severity of the injury. Software package SPSS10.0 was used to1nalyze these data. Results our province1accepted 110 patients in april 15th,136 patients inapril 16th, 75 patients in April 22th .The three peak time for accepting patients was the first、second and 8rd day after earthquake.The patients1acepted by our province on the second day had the highest ISSscore( 10.16±6.93 ) ,and on the first and 8rd days the ISS score was (8.12±4.76)and(6.16±4.23)，respectively. There existed significant difference on ISS score between the first day and the second day and also significant difference between the second day and the 8th day(P<0.05).Conclusions 1according to the study ,patients accepted by our province on the second day had the most serious injury,and the number of patients1 acepted by our province reached its peak on the second day.
[Keywords]earthquake; patients,characteristics
2010年4月 14日 7时49 分，在青海玉树县发生7.1级严重破坏性地震，造成大量人员伤亡，灾情极为严重。灾难发生后部分伤员陆续转往西宁、兰州、西安等城市进行救治。由于地震伤突发性强、伤员数量多、伤情复杂，医疗机构需积极行动，挽救尽可能多的生命。组织救援者如不熟悉该类灾害特点，有针对性的进行抢救，将导致抢救失败。笔者将在地震发生后转入甘肃省的伤员特点进行总结，以期对以后类似的抢救提供帮助。
1 资料与方法
1.1伤员分类
2010 年4月 15 日18时28分至4月28日16时50分，由青海转入我省的伤员共338人 ......
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