地震中伤员大规模转运时的病情评估

Evaluation of patient＇ s condition during massive transportation of earthquake

目的对四川汶川地震中需要大规模转运伤员的病情评估进行分析探讨。方法总结四川汶川地震中我医疗救治转运小组接收的43例伤员，按照高级创伤生命支持的原则进行检伤，采用院前指数法（PHI）评分，对伤员进行综合病情评估。结果经以上原则及评分进行病情评估的43例伤员中，5例伤员在病情评估过程中考虑病情不稳定，存在较大潜在危险，拒绝转运，其余38例安全转运。结论在地震期间大规模转运伤员时，采用高级创伤生命支持的检伤原则及院前指数法（PHI）创伤评分进行病情评估，是伤员成功转运的关键。

Objective To analyse and discuss the evaluation of patient＇ s condition during massive injured transportation in Sichuan Wenshuan earthquake. Method 43 injured in earthquake taken by our medical save transportation team were evaluated by Prehospital Index （ PHI ） score and based on ad- vanced trauma life support principle. Result 5 patients were judged as unstable condition with high po- tential risk, therefore refused to take long distance transportation; the rest 38 injured were transported smoothly. Conclusion During the phase of massive injured transportation during earthquake, the adoption of advanced trauma life support principle and Prehospital Index （ PHI ） score to evaluate patient ＇ s condition are the successful key of patients transportation.