汶川大地震被埋164小时严重多发伤1例的早期救治

Early treatment of a patient bury for 164 hours with severe multiple trauma at 5.12 Wenchuan earthquake

目的总结5.12汶川大地震致严重多发伤早期抢救的经验。方法1例因地震被埋164小时致全身严重多发伤患者,损伤严重程度评分(ISS90)为39分,立即予现场、救护车上初级救治,入院后予快速有效抗休克、手术清创、损害控制、ICU监护、容量复苏、多次清创等救治措施。结果患者救治3天后各项检验指标逐渐恢复,病情稳定,送北京进一步治疗。结论地震灾害紧急救援网络中各环节有机连接,发挥多学科合作,运用损伤控制理论,综合运用各项救治措施是本例成功救治的关键。

Objective To summarize the experiences of treating severe multiple trauma at earthquake buried for a long time. Methods A 61 year old patient with severe multiple trauma at earthquake for 164 hours. The ISS90 score of the patient was 39. The treatment measures included junior rescue in ambulance, efficient anti-shock, surgical clean and damage control, and ICU monitoring. Results The condition of the patient was stabilized 3 days later and transferred to Beijing for further treatment. Conclusion The effeicent cooperation of different departments and utilization of damage control principles to treat are important to earthquake emergency rescue.