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        west china medical publishers
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        find Keyword "地震" 289 results
        • The Diagnostic Value about CT of Abdominal Injury in Wenchuan Earthquake

          目的:探討四川汶川地震腹部損傷傷員CT表現及其診斷價值。方法:對我院因汶川地震受傷,需做腹部CT的傷員27例的治療,進行CT分析。結果:在本組腹部損傷傷員中, 肝臟病變7例,膽囊病變2例,胰腺病變11例,脾臟病變8例,腎臟病變11例,腹腔積液6例,腹腔積氣9例,胃腸道病變8例,子宮病變1例。部分傷員為兩個或兩個以上器官受累。結論: CT檢查結合臨床治療能快速、準確、有效的對地震腹部損傷傷員進行判斷,對臨床診治具有重要作用。

          Release date:2016-09-08 10:04 Export PDF Favorites Scan
        • Investigation the Influence of Sichuan Wenchuan Earthquake on Patients of Rheumatoid Arthritis

          目的:本文研究5·12四川汶川大地震造成停藥、居住條件惡劣、創傷后應激障礙(posttraumatic stress disorder,PTSD)、是否并發感染、地震破壞烈度等多種因素對類風濕關節炎(RA)患者的影響。方法:對58例確診為RA的重災區(北川、平武、江油、安縣)地震前病情穩定患者震后一月進行血沉(ESR)和C反應蛋白(CRP)測定,同時評估患者關節腫脹、關節壓痛、晨僵情況,了解患者是否病情活動,分析地震造成停藥、居住條件惡劣、PTSD、并發感染及地震破壞烈度等多種因素對RA的影響。采用fisher確切概率法,分析地震破壞烈度與疾病活動是否有相關性,采用SPSS12.0軟件對地震可能影響RA患者病情活動的其它相關因素進行Logistic回歸分析。結果:58例患者中34例RA患者出現病情活動。fisher確切概率法分析顯示:上述四縣患者疾病活動構成比差別無統計學意義。病情活動者中62%患者停藥;85%患者居住條件惡劣;59%患者患有PTSD;35%患者并發感染。Logistic回歸分析發現停藥、居住條件惡劣、PTSD及并發感染與RA患者病情活動相關(P均小于0.05)。結論:本研究中涉及的四個縣RA患者疾病活動構成比差異無顯著性,地震造成的停藥、居住條件惡劣、PTSD、并發感染可使一部分RA患者病情活動。

          Release date:2016-08-26 03:57 Export PDF Favorites Scan
        • The Assessment of Post-disaster Reconstruction of Yushu Earthquake for 1 Anniversary of the Mournings

          Objective To assess the performance of post-disaster reconstruction of Yushu earthquake at the first anniversary, so as to summarize the Yushu modes of post-disaster reconstruction and provide references for reconstruction work after extreme natural disasters at home and abroad. Methods All the materials seen during the first year after Yushu Earthquake were collected, such as all documents, information notifications and work reports issued by the Central Government and the Ministry of Health, and all the information from the website of News Office of the State Council, the Ministry of Health, Qinghai Provincial People’s Government, and Xinhuanet. The literatures about Yushu Earthquake were also searched from CNKI. All the data were retrospectively analyzed to describe the reconstruction tasks and summarize the effectiveness. Results?a) The reconstruction faced upon special difficulties, including short construction time, cold climate and hypoxia, poor transport, lack of construction resources, economic backwardness, weak logistics and higher cost of reconstruction; b) The performance was significant, e.g., the government completed an investment of 5.01 billion yuan. The goal of urban and rural housing construction was fully completed. Public and municipal infrastructure construction made an important breakthrough. The projects related to livelihood were rapidly implemented. The counterpart’s education at remote was basically completed. Conclusion?As the largest reconstruction in the highest altitude area after a magnitude 7.0 earthquake, Yushu’s reconstruction learns from the experience in Wenchuan, keeps the foothold of its own features and conditions, challenges the limits of high altitude with cold and hypoxia climate, forms a post-disaster reconstruction mode with Chinese characteristics, demonstrates the speed and quality of reconstruction, and provides the valuable experience for domestic and foreign counterparts.

          Release date:2016-09-07 11:03 Export PDF Favorites Scan
        • The Investigation and Analysis of the Psychological Profile of Medical Staffs in Orthopedics Department during the WenChuan Earthquakes

          Objective To investigate the mental status of medical staffs in the orthopedics department during the earthquake, providing evidence for psychological intervention. Methods Choosing 104 staffs in the orthopedics department as eligible subject with convenient sampling; the research tool was Symptom Checklist-90. The questionnaire was done by the participants with the same instruction from psychological professionals; analyze the results. Results The score in somatization, anxiety and phobic anxiety of staffs in the orthopedics department was significantly higher than the national norm. Conclusion  There exists disorder in mental health of medical staffs in orthopedics department, it is necessary to implement mental intervention.

          Release date:2016-09-07 02:11 Export PDF Favorites Scan
        • The Effect of Comprehensive Rehabilitation System on the Treatment of 54 Earthquake Patients with Lower Limb Fracture

          目的:探討綜合康復治療體系對54例地震致下肢骨折患者功能恢復的影響。方法:采用綜合康復治療方法治療“5·12”汶川大地震所致54例下肢骨折患者,臨床觀察患者傷口的愈合情況和骨折的復位情況,有無骨折并發癥,分析比較治療前后患者下肢功能恢復情況及日常生活活動能力的改善。結果:康復治療后關節活動度明顯改善,由入院時的平均218.61°增加至出院時的237.5°(P<0.001)。Barthel指數由入院時的平均55.4增加至出院時的70.8(P<0.001),日常生活活動能力有較大幅度提高。結論:綜合康復治療體系對于地震傷致下肢骨折患者的功能恢復至關重要,一套完善的體系應包括:①康復治療早期介入,功能鍛煉長期堅持;②發揮大型綜合性醫院的優勢,多學科交叉,多部門合作;③功能康復和心理康復并重;④專業人士與社會團體共同參與。

          Release date:2016-09-08 09:54 Export PDF Favorites Scan
        • Research on the Mental Health of Pupils 24 Months after 5.12 Earthquake

          目的 了解5.12汶川大地震24個月后震區小學生的心理健康狀況,為進行震后長期心理危機干預提供依據。 方法 于2010年5月即汶川大地震發生后24個月,分別使用創傷應激量表兒童版(CRIES-13)、兒童抑郁障礙自評量表(DSRSC)、長處與困難問卷(SDQ)學生版,調查了553名來自于彭州災區的小學生的心理健康狀況及其影響因素。 結果 ① 災區小學生CRIES-13總分為(22.98 ± 12.29)分,其中大于劃界分(30分)者為143人,占總人數的25.9%;女性總分高于男性(Z=?2.031,P=0.042);震后被轉移至安全地點的時間越長(OR=1.025,P=0.012)、家人傷亡越嚴重(OR=1.141,P=0.021),其CRIES-13總分大于劃界分的可能性越高。② 災區小學生DSRSC總分為(11.07 ± 5.78)分,其中總分大于劃界分(15分)者為120人,占總人數的21.7%;女性總分高于男性(Z=?2.508,P=0.012);災區小學生的年齡(r=0.098,P=0.021)、震后被轉移至安全地點的時間(r=0.117,P=0.004)與DSRSC總分呈正相關。③ 災區小學生SDQ總困難因子得分為(14.97 ± 5.44)分,62.9%的人報告自身存在主觀困難;女性的情緒因子、親社會因子得分高于男性(Z=?3.123,P=0.002;Z=?2.243,P=0.025);年齡越大,品行因子(χ2=7.604,P=0.023)、親社會因子(χ2=8.102;P=0.017)得分增加。 結論 震后災區小學生的心理健康狀況受到性別、年齡、震后被轉移至安全地點的時間、家人傷亡程度的影響,震后長期心理危機干預應綜合考慮這些相關因素以確定高危人群。

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        • The Cause and Therapy of Open Fracture on Earthquake in Wenchuan

          目的:探討汶川地震傷中開放性骨折原因分析及治療策略。方法:回顧性分析280例汶川地震中開放性骨折患者病例,總結骨折原因及治療方法。結果:患者壓砸傷266例,占95%,其他受傷方式約占5%。治療上急診行內固定手術者88例,占31%,行外支架固定者69例,占24%,單純石膏外固定者60例,占21%,截肢患者63例,占22%,63例截肢患者中40例為肢端缺血壞死引起,占14%,15例為肢體毀損引起,占5%,8例為氣性壞疽引起,占2%。結論:汶川地震傷中開放性骨折原因多為壓砸傷,治療首先考慮全身治療,搶救生命,骨折治療根據Gustilo分度及肢體有無氣性壞疽或壞死而進行相應的治療。又因為地震傷有受傷人群多,受傷時間長,感染嚴重及救治困難等特點,故應根據病情采取相應的特殊救治方法。

          Release date:2016-09-08 10:12 Export PDF Favorites Scan
        • Analysis of the Treatment of the Patients with Multiple Organ Failure in Wenchuan Earthquake

          摘要:目的:總結汶川地震26例多器官功能衰竭患者的臨床資料,就其發病特點,治療經過及預后進行探討,為防治提供依據。方法:對汶川地震26例多器官功能衰竭患者的臨床資料進行回顧性分析。結果:19例患者死亡,死亡率為73.1%。死亡率隨著功能衰竭的器官數量增多而增高,4個及以上器官功能衰竭者死亡率為100%。結論:多器官功能衰竭預后差,死亡率高。強調對 MOF的早期識別、早期診斷、早期治療以及治療上的統籌兼顧,防治結合。Abstract: Objective: To investigate the clinical characteristic and treatable methods of the multiple organ failure (MOF) in Wenchuan earthquake. Methods: The clinical records of the 26 patients with MOF were studied retrospectively. Results: Nineteen patients died and the mortality was 73.1%.The mortality increased along with the quantity of the organ failure, and the death rate of the patients with equal or more than 4 organs failure was 100%. Conclusion:The prognosis of the patients with MOF was bad and the death rate was high in Wenchuan earthquake. We emphasize the early recognition, early diagnose and early treatment and the treatment of overall planning and allround consideration and prevention in combination with treatment.

          Release date:2016-08-26 03:57 Export PDF Favorites Scan
        • Investigation and Analysis of Risk Factors of Spontaneous Abortion Related in Reproduction-needed Couples after the Earthquake

          【摘要】 目的 調查分析有家庭成員在汶川地震中傷亡的再生育夫婦自然流產的相關危險因素。 方法 通過回顧性問卷調查方式,2008年9月-2011年3月收集整理44對震后有自然流產的再生育夫婦基本資料和自然流產相關危險因素,分析該類人群震后自然流產危險因素特點。 結果 自然流產發生率占總妊娠比例的22.9%,11.1%的女性出現了震后月經改變,有人流史婦女與無人流史婦女震后月經改變率比較,差異無統計學意義(χ2=0.58,Pgt;0.05)。 結論 震后女性易發生月經改變,地震后再生育夫婦的自然流產發生率顯著高于正常人群中的自然流產發生率,環境、高齡等因素可能是該人群自然流產高發的主要危險因素。【Abstract】 Objective To explore the risk factors of spontaneous abortion related in reproduction-needed couples after the earthquake. Methods Between September 2008 and March 2011, 44 pairs of reproduction-needed couples were investigated by retrospective questionnaire. The risk factors of spontaneous abortion were analyzed. Results The spontaneous abortion rate was 22.9%; 11.1% females had the menstruation changes. The difference in the rate of the menstruation changes between the females had spontaneous abortion history and the ones didn′t had the history was not significant (χ2=0.58,Pgt;0.05). Conclusions The females after the earthquake may have menstruation changes; the spontaneous abortion rate in reproduction-needed couples after the earthquake is obviously higher than that in the normal couples. The risk factors may include the environment and the age.

          Release date:2016-09-08 09:27 Export PDF Favorites Scan
        • 地震災害中掩埋140小時傷員的救治體會

          地震掩埋往往使傷員喪失食物及水鹽來源,引起機體代償性的能量及水鹽代謝變化,嚴重時,引起傷員器官功能損傷及內環境紊亂,導致生命危險。合理地進行能量補充及水鹽紊亂的糾正,預防感染,是救治成功的關鍵。

          Release date:2016-09-08 09:54 Export PDF Favorites Scan
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