目的 分析華西醫(yī)院收治的地震死亡病例的危險(xiǎn)因素和對(duì)策。方法 收集四川I大學(xué)華西醫(yī)院地震死亡病例數(shù)據(jù)記錄，對(duì)死亡的年齡分布、創(chuàng)傷病因種類及救治時(shí)間等進(jìn)行回顧性的比較分析。結(jié)果 截至2008年6月12日共收治2702例傷病員，死亡27例。在地震相關(guān)死亡病例中，高齡(／ gt;70歲)、重型顱腦外傷和非外傷原發(fā)基礎(chǔ)疾病導(dǎo)致的死亡最多。≤1 d的死亡與現(xiàn)場(chǎng)急救及轉(zhuǎn)運(yùn)不當(dāng)相關(guān)，≥1 d的死亡與基礎(chǔ)疾病相關(guān)。結(jié)論 對(duì)7O歲以上，尤其是伴發(fā)非外傷原發(fā)基礎(chǔ)疾病的傷員，應(yīng)加強(qiáng)關(guān)注。ICU醫(yī)師參與院前、院內(nèi)各?？频默F(xiàn)場(chǎng)危重傷員篩查與緊急處置工作有助于降低病死率。
引用本文： 薛欣盛,張中偉,周琰,鄧麗靜,王波,康焰. 汶川地震死亡相關(guān)因素分析. 中國(guó)呼吸與危重監(jiān)護(hù)雜志, 2008, 08(4): 245-247. doi: 復(fù)制
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- 1. Better OS.The crush syndrome revisited (1940-1990). Nephron ,1990,55:97-103.
- 2. Tanaka H, Oda J, Iwai A, et al.Morbidity and mortality of hospitalized patients after the 1995 Hanshin-Awaji earthquake. Am J Emerg Med, 1999,17:186-191.
- 3. Sever MS, Vanholder R, Lameire N, et al.Management of crush-related injuries after disasters.N Engl J Med,2006,354:1052-1063.
- 4. Vanholder R, van der Tol A, De Smet M, et al. Earthquakes and crush syndrome casualties: lessons learned from the Kashmir disaster. Kidney Int, 2007,71:17-23.
- 5. 陳鋒,林才經(jīng).院前急救與災(zāi)難的緊急醫(yī)療救援.中華急診醫(yī)學(xué)雜志,2006,15:479-480.
- 6. 繆春勤,李魯,胡國(guó)忠.醫(yī)院醫(yī)療資源整合在臺(tái)風(fēng)傷害中臨床急救效果評(píng)估.中國(guó)衛(wèi)生事業(yè)管理,2007,11:739-742.
- 7. Kai T, Ukai T, Ohta M, et al.Hospital disaster preparedness in Osaka, Japan. Prehosp Disaster Med,1994,9:47-52.
- 8. Bulut M, Fedakar R, Akkose S, et al. Medical experience of a university hospital in Turkey after the 1999 Marmara earthquake. Emerg Med J,2005,22:494-498.