区域性国家级医院在汶川地震医疗救援中的战略支撑作用

The Strategic Supporting Role of a Regional State-level Hospital during Medical Rescue after Wenchuan Earthquake

汶川地震医疗救援中,华西医院党政领导准确定位医院作用,迅速确定医院地震医疗救援的"三中心"战略定位:即复杂危重伤员救治中心,灾区医院支援中心和省外医疗队后勤保障中心;强调集中指挥、授权管理和多部门协同合作。医院管理模式迅速从常态进入双轨制应急状态。科学合理配置和调动资源,满足随时变化的伤员抢救需求。根据地震伤员来院情况分为三个阶段,分期重点处置。依靠多学科合作,集结国内国际专家,加强了危重伤抢救力度,提高了救治水平。截至止6月2日,医院共接诊地震伤员2618例,住院1751例,其中危重伤员1135例,ICU收治127例,手术1239台,血液透析77例,住院死亡率低于0.7%。其间医院的常规医疗照常进行。

Shortly after Wenchuan earthquake, the administrative leaders of West China Hospital accurately defined the role of the hospital during the medical rescue work as the treatment center for the seriously wounded, the supporting center for the local hospitals/clinics of the disaster areas, and the logistic supporting center for medical teams from other provinces. Integrated leadership of management and with efficient multi-department coordination and cooperation were emphasized. The mode of the hospital was immediately transformed from the regular state into a double-track emergent state. Scientific allocation and dispatch of resources were ensured to meet the ever-changing demand from all levels of rescue work. Three stages were defined based on the conditions of the wounded delivered to the hospital, with different main focuses for each stage. Owing to the multi-disciplinary cooperation and concerted efforts of a large number of experts from other provinces or even other countries, effective and efficient medical rescue service has been offered to all the wounded. Up to June 2nd, 2 618 cases from the disaster area have been treated, of whom 1 751 admitted into the inpatient department, 1 135 seriously wounded, 127 admitted into the Intensive Care Unit, 1239 underwent operations and 77 treated with hemodialysis, with an inpatient mortality lower than 0.7%. Moreover, even during such a period of time, the routine medical service has been offered as regular to patients other than the wounded in the disaster.