芦山地震紧急救援期三级救治分析

Analysis on grading medical rescue services in Lushan earthquake

目的探讨地震灾害医学救援的分级救治。方法以国家级紧急医学救援队在芦山地震医学救援中的救治实践为基础，回顾分析芦山地震医学救援的分级救治。结果地震发生后多个医疗救援队迅速集结灾区。截止4月30日共救治伤员达25176人，其中门诊治疗18611人，住院治疗6565人，重伤及危重伤977人。结论三级救治是芦山地震医疗救援工作的主要模式，其中一、二级救治是关键环节，成就了医学救治的“芦山模式”。

Objective To explore the grading medical services performed in Lushan where the earthquake occurred. Methods A retrospective analysis was conducted on the grading medical rescue services which the national emergency rescue team performed at Lushan earthquake. Results As of 4/30, ten days after the earthquake occurred, the record showed that a total of 25,176 wounded received medical service, including 18,611 for outpatient, 6,565 for hospitalization, and 977 in critical condition. The effort was attributed to the three-grade medical services-the rescue in the field; triaging and treatment at the local medical facilities, and transporting those critical wounded to comprehensive hospitals. Conclusion Lushan model has been created with a primary aim at the first and second grades which require timely solution.