2008年北京奥运会综合诊所伤病员救治实践与分析

Diagnosis and treatment of the sick and wounded in the polyclinic in the 2008 Beijing Olympic Village: practice and analysis

总结奥运村综合诊所伤病员医疗实践,为大型国际活动的医疗保障提供借鉴。回顾性分析2008年7月27日～2008年8月27日奥运村综合诊所患者的医疗实践,总结各类医疗对策与成效。奥运村综合诊所累计接诊各类伤病员9803名,其中中方医生诊疗8375名,占85.43%;由各国队医诊治1428名,占14.57%。诊所中国医生接诊的8375名患者中,各国运动员2794名占33.36%,伤病员涵盖了参赛的204个国家与地区;疾病系统分类显示运动员急慢性损伤为第1位,占39.82%;运动员中申请禁药包括简易性治疗可豁免的比例仅为0.47%,传染性疾病检出4例,未提供HIV及其他传染病的筛查。运动员使用禁药豁免权限管理复杂,需要根据具体情况分级处理;不同宗教文化、政治、经济差异影响各国人员就医取向;运动员群体急、慢性损伤多种多样,需要加强分类治疗;传染病及疑似传染病护理要求加强消毒隔离。

During the period from July 27 to August 27 2008, a total of 9 803 persons visited the polyclinic in the 2008 Beijing Olympic Village, among them 8 375 （85.43%） were diagnosed and treated by Chinese medical workers and 1 428 （14.57%）, mostly from US, Great Britain, France, Italy, Russia, Australia, Japan, and Korea, by their own team doctors. Among the 8 375 that were diagnosed and treated by Chinese medical workers, 2 794 （33.36%） were athletes from 204 countries and regions. 3 335 clinic visitor （39.82%） came for acute or chronic sports injuries, Thirteen athletes （0.47%） applied for an exemption to use illegal drugs for therapeutic purpose. Four cases of infectious diseases, including chickenpox, bacillary dysentery, and infectious diarrhea, were found. Once a case of infectious disease was discovered, isolation, sterilization, and report were conducted. Screening for HIV and other infectious diseases was not provided. Since the sick and wounded came from different racial, political, economical, religious, and cultural backgrounds different kinds of service were provided. Triage played an important role in the practice.