高海拔地区非战时胸部外伤的院前急救

Pre-hospital emergency of chest trauma at the high altitude area in non-wartime

目的探讨高海拔地区非战时胸外伤的一站式院前急救。方法自2006年6月～2011年4月,在海拔1800～2 000 m的滇中地区,利用军警信息共享,军警共建急救快速通道,采用"一站式"院前急救胸部外伤780例,抢救方式为A(气道通畅)、B(人工呼吸)、C(循环支持)、D(人工除颤)、E(心电监护),还要考虑到高海拔低氧分压的地域因素。结果呼救后抵达现场时间低于国内文献的报道,780例住院伤者院内死亡33例,占总救治数4.2%,低于近期国内报道。结论高海拔地区非战时胸部创伤的军警联动快速通道的方式,符合目前平时性胸部外伤,也可用于战时胸外伤的院前急救。

Objective To explore pre-hospital emergency of non-wartime. Methods From June 2006 to April 2011,at an altitude Province, the military and police information s 780 cases of chest traumas adopted ＂one-stop haring were used,and the chest trauma at the high altitude area in of 1 800m - 2 000m central area of Yunnan military and police aided to build fast-track. pre-hospital emergency. Rescue ways were A （airway）, B （breathing）C （circulation）, D （Defibrillation） and E （ECG）. The high altitude and low oxygen partial pressure geographical factors were also taken into account. Results The time of arrival at the scene after call for help was lower than that of the domestic literature reports. 33 cases were dead among 780 cases of hospitalized injured patients.（4.2%）. The mortality rate was lower than that of the recent national reports. Conclusion The way of the military and police linkage green channel of high-altitude for non-wartime chest trauma is consistent with the current community civilian trauma, and adapted for wartime pre-hospital emerzencv.