3·28透水事故医疗救治应急预案效果分析

Medical rescue in＂March 28＂mine flooding accident

2010年3月28日14时30分山西省河津市王家岭煤矿发生透水事故.在事先制定的包括井下、井口、转运及医院救治预案的基础上医学救援人员被立即动员起来.3所地方医院被指派为定点首诊医院,太原3家三甲医院被指派为定点转诊医院.救援过程中,通过钻孔通道每日向井下输送标准配方的营养液.8 d后,115名被困井下的矿工陆续升井,以最快的速度转运至首诊定点医院,得到及时的治疗.无再喂养综合征病例发生.所有被救矿工均恢复健康并出院.实践证明卫生行政部门在预案的制定中起关键作用,对再喂养综合征应予足够重视,心理干预十分必要.

At 2：30 PM, 28 March 2010 a flooding accident occurred in a coal mine in Wangjialing, Hejin City, Shanxi Province. Soon professional medical rescuers were mobilized to medical relief based on the contingency plan developed in advance, ineluding underground, wellhead, transport, and hospital treatment programs. Three local hospitals were assigned as first diagnosis hospitals, and 3 class 3 grade A hospitals in Taiyuan were assigned as referral hospitals. During the rescue, standard nutrient solution was transferred into the mine through hole channel. Eight days later 115 miners stranded in the pit were rescued in succession. They were sent to assigned hospitals without delay where they underwent timely treatment. No case of refeeding syndrome was found. All rescued miners were recovered and discharged. Experience showed that health administrative department plays a key role in development of contingency plan, great attention should be paid to refeeding syndrome, and psychological intervention is necessary.