摘要
目的探讨地震救援中现场截肢手术适应证、手术方法及伦理问题。方法映秀镇地震救援中现场截肢2例共3个肢体,采用局部麻醉,截肢平面靠近压迫物。术后补充等张盐水,补液速度1.5L/h,静脉滴注5%碳酸氢钠溶液150mL。口服头孢克肟胶囊,400mg顿服。结果截肢后2例患者均未出现严重并发症,次日送后方医院行二次截肢。结论灾难救援中现场截肢必须综合考虑,严格掌握适应证,必要的截肢可以挽救伤员生命。
Objective To investigate the indications, process and ethical issues of amputation on the spot in Wenchuan earthquake rescue. Methods Two female had amputations on the spot in 3 limbs iu Yingxiu of Wenchuang county. Local anaesthesia were used, the level of amputation as near the compression. Intravenous isotonic saline solution at a speed of 1.5 L/h, intravenous sodium bicarbonate and singledose oral cefixime of 400 mg were given after operation. Result There were no severe complications, and secondary amputation was performed in two patients 1 d after rescue. Conclusions It is difficult to determine whether or not an amputation on the spot amputation should be performed, but amputation is recommended in the unavoidably necessary situation.
出处
《中华损伤与修复杂志（电子版）》
CAS
2008年第4期40-42,共3页
Chinese Journal of Injury Repair and Wound Healing(Electronic Edition)
关键词
地震
灾难医学
截肢
治疗
Earthquake
Disaster medicine
Amputation
therapy
