Victims' Surgeries of Rescue Thinking after 7.0 Lushan Earthquake: Feature Analysis and Thinking in Rescue_Chinese Journal of Evidence-Based Medicine

Authors：

 TIANWei ¹ , ZHANGZi-wu ² , HANXu ² ,  PANJing-ping ²

1. Sichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital, Chengdu 610072, China;
2. Sichuan Health Information Center, Chengdu 610041, China;

Corresponding?author：

PANJing-ping, Email: 52570971@qq.com

Keywords：

Lushan earthquake; Medical rescue; Surgery

DOI：

10.7507/1672-2531.20140105

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To analyze the cases of surgical wounded characteristics after Lushan county 7.0 earthquake for government departments to formulate relevant policies to provide references for future decision-making. Methods The data of surgical wounded were collected from various hospitals in Sichuan province. Origin, operation time and the injured area were counted according to gender and operation time was counted according to origin. In the descriptive statistics the frequencies and proportions were used to describe categorical data and x±SD was used to describe quantitative data. SPSS 13.0 software was used to analyze the data. Results A total of 975 cases of surgical wounded included 586 cases of male (accounting for 60.10%) and 389 cases of female (accounting for 39.90%). The average age of the surgical wounded was 40.42±20.06 years. Ya'an city had completed the largest number of surgical cases. Medical institutions completed 53.85 percent of the surgery in the first three days, 41.03 percent of the surgery from four days to seven days after the earthquake. They completed 94.88 percent of surgery in one week after the earthquake. Ya'an city was the largest city in the number of surgical cases within 3 days after the earthquake. Medical institutions directly under the province and the Ministry of Health medical institutions in Sichuan were the largest medical institutions in number of surgical cases from four days to seven days after the earthquake. The largest number of cases was wounded ankle and foot injuries, followed by the abdomen, lower back, lumbar spine and pelvis injuries, once again the knee and calf injuries, and finally the head injury. Conclusion In the face of natural disasters like earthquakes, the health care system should establish a reasonable and effective medical emergency response mechanisms and plans, and establish a scientific and rational triage mechanism. Multi-disciplines such as orthopedics and surgery should be ready ahead of first aid equipment and emergency medicine, so as to rationalize the allocation of medical resources, achieve maximum utilization of medical resources, reduce morbidity and mortality, and save surgical treatment time for more wounded.

Citation： TIANWei, ZHANGZi-wu, HANXu, PANJing-ping. Victims' Surgeries of Rescue Thinking after 7.0 Lushan Earthquake: Feature Analysis and Thinking in Rescue. Chinese Journal of Evidence-Based Medicine, 2014, 14(6): 637-641. doi: 10.7507/1672-2531.20140105 Copy

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4.	徐家相.地震災害的緊急醫療救援.中華急診醫學雜志, 2005, l4(7):557-558.
5.	田偉, 馬娟. 1604例汶川地震住院傷員救治分析.中國病案, 2009, 10(6):44-45.
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15.	陳敏, 張伶俐, 李幼平, 等. 23例蘆山地震住院婦產兒科傷病員用藥合理性分析.中國循證醫學雜志, 2013, 13(9):1032-1036.
16.	金朝輝, 徐珽, 李幼平, 等.蘆山地震后1月內四川大學華西醫院應急藥品使用合理性研究.中國循證醫學雜志, 2013, 13(9):1025-1031.
17.	楊帆, 陳澍, 鄭波.蘆山地震應急醫療救援中傷員早期抗菌藥物使用建議.中國循證醫學雜志, 2013, 13(7):777-779.
18.	車螢, 雷中杰, 何成奇, 等. 188例蘆山地震傷員傷情分類及早期康復策略.中國循證醫學雜志, 2013, 13(6):657-661.
19.	金朝輝, 徐珽, 李幼平, 等.蘆山地震后1月內四川大學華西醫院應急藥品保障分析.中國循證醫學雜志, 2013, 13(6):631-636.
20.	徐健康, 鄧興廣, 李華, 等.汶川地震四川省醫用物資保障工作情況-2008年5月12日至9月15日.中國循證醫學雜志, 2008, 8(11): 905-912.

1. ?"4·20"雅安地震.百度百科. Available at:http://baike.baidu.com/view/10481163.htm?subLemmaId=10663673&fromenter=%C2%AB%C9%BD%B5%D8%D5%F0&redirected=alading#1.
2. 張進, 陳偉, 孟驥, 等.華西醫院1635例汶川地震住院患者總體費用構成和影響因素分析.中國循證醫學雜志, 2008, 8(9):703-709.
3. 田偉, 馬娟.汶川地震住院傷員傷情及住院費用影響因素分析.中華醫院管理雜志, 2010, 26(3):198-201.
4. 徐家相.地震災害的緊急醫療救援.中華急診醫學雜志, 2005, l4(7):557-558.
5. 田偉, 馬娟. 1604例汶川地震住院傷員救治分析.中國病案, 2009, 10(6):44-45.
6. 田偉.玉樹災區地震住院傷員特征分析.現代預防醫學, 2012, 39(6):1402-1404.
7. 沈驥, 蘇林, 李冰, 等.汶川地震四川省衛生應急救援成效分析.中國循證醫學雜志, 2009, 9(3):301-306.
8. 陳竺, 沈驥, 康均行, 等.特大地震應急醫學救援:來自汶川的經驗.中國循證醫學雜志, 2012, 12(4):383-392.
9. 謝娟, 杜亮, 夏天, 等.四川大學華西醫院1861例汶川地震住院和死亡傷員傷情與死因分析.中國循證醫學雜志, 2008, 8(8):591-596.
10. 唐甫斌, 浦金輝, 張璧, 等.地震傷員的處理原則.創傷外科雜志, 2007, 9(3):210.
11. Bulut M, Fedakar R, Akkose S, et al. Medical experience of a university hospital in Turkey after the 1999 Marmara earthquake. Emerg Med J, 2005, 22(7):494-498.
12. 田偉, 馬娟.四川省某醫院收治地震傷員的調查分析.中國病案, 2009, 10(2):44-45.
13. 田偉, 馬娟.玉樹與汶川地震傷病員特征比較分析.中國病案, 2011, 12(4):6-7, 2.
14. 金朝輝, 徐珽, 李幼平, 等.蘆山地震后1月內四川大學華西醫院應急藥品使用費用分析.中國循證醫學雜志, 2013, 13(10):1149-1154.
15. 陳敏, 張伶俐, 李幼平, 等. 23例蘆山地震住院婦產兒科傷病員用藥合理性分析.中國循證醫學雜志, 2013, 13(9):1032-1036.
16. 金朝輝, 徐珽, 李幼平, 等.蘆山地震后1月內四川大學華西醫院應急藥品使用合理性研究.中國循證醫學雜志, 2013, 13(9):1025-1031.
17. 楊帆, 陳澍, 鄭波.蘆山地震應急醫療救援中傷員早期抗菌藥物使用建議.中國循證醫學雜志, 2013, 13(7):777-779.
18. 車螢, 雷中杰, 何成奇, 等. 188例蘆山地震傷員傷情分類及早期康復策略.中國循證醫學雜志, 2013, 13(6):657-661.
19. 金朝輝, 徐珽, 李幼平, 等.蘆山地震后1月內四川大學華西醫院應急藥品保障分析.中國循證醫學雜志, 2013, 13(6):631-636.
20. 徐健康, 鄧興廣, 李華, 等.汶川地震四川省醫用物資保障工作情況-2008年5月12日至9月15日.中國循證醫學雜志, 2008, 8(11): 905-912.

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