摘要
“5．12”汶川地震后205例骨折患者，男135例，女70例，年龄（53．6±15．2）（15～82）岁，被转移至乐山市的中国人民武装警察部队四川总队医院。途中97例（47％）出现并发症（包括失血性休克、继发性血气胸、呼吸心脏骤停、静脉留置针滑脱等），经积极处置和安全护理，无1例死亡。将骨折患者从震区转运出去，事先要评估患者是否需要转运及选择好转运时机。向患者做好解释工作。医护人员必须掌握相应知识和技巧。要保持静脉通路通畅，多数采用套管针。固定好导尿管，做好物资准备。备简易呼吸器、除颤仪、心电监护仪等急救物品，应多带监护仪电池。转运途中严密监测和保持通讯联络十分重要。
After the Wenehuan Earthquake on May 12 2008, 205 patients with fracture, 135 males and 70 females, aged （53.6＋ 15.2）（15-82）, were transported from the earthquake-stricken areas to Leshan City. 97 of them （47%） suffered from complications, including hemorrhagic shock, secondary hemopneumothorax, respiratory and cardiac arrest, slippage of venous indwelling needle, etc. However, no patient died after active management and safe nursing. In order to transport the patients it is necessary to assess whether they are fit for transportation and select the appropriate opportunities before the practice. Explanation should be offered to the patients. The medical workers concerned must master relevant knowledge and skills. The venous pathway should be kept smooth. Urinary catheter should be fixed. First-aid equipments, such as simple artificial respirator, defibrillator, and electrocardiographic monitor were in the ambulance. Extra batteries for monitors are prepared. It is very important to monitor carefully and keep communication going.
出处
《中国急救复苏与灾害医学杂志》
2009年第4期212-213,共2页
China Journal of Emergency Resuscitation and Disaster Medicine
关键词
骨折
安全转运
护理
Fracture
Patient
Safe transportation
Nursing
