“4．20”芦山地震72小时内德阳地区伤员伤害调查与分析

Investigative Analysis on the wounded of Deyang during the first 72 hours after 4/20 earthquake in Lushan

目的分析“4．20”芦山地震中德阳地区地震伤员的伤情特点、救治过程和效果，探讨灾难救援中应急预案应用和防范地震伤害的措施。方法收集四川省德阳市人民医院在2013年4月20日～4月23日收治的25例地震伤员资料，分析伤员伤害情况，回顾早期救治分类、救治方法和内容。结果25例伤员中，共有32处损伤，单个部位伤20例，占80．00％；多部位伤5例，占20．00％，单个部位伤明显多于多部位伤，P〈0．05；四肢损伤、体表和软组织损伤多于其他部位损伤；伤员流在震后第1天最多，占92．oo％，明显多于其他时间，P〈O．05；19～45岁年龄组伤员多于其他年龄组，P〈0．05。结论德阳市人民医院具有丰富的急救经验和完善的应急预案，并形成了科学、高效的急救救援体系，缩短了应急反应时间，提升了灾害应急救援能力。

Objective To analyze characteristics of the wounded and effect of remedy at earthquake in Lushan, and to review the emergency response plan and the measures how to prevent injuries. Methods Data of the 25 wounded in earthquake in Deyang hospital in between April 20 and April 23, 2013 were collected. A review on triage, treatments, and contents was conducted. Results Of the 25 wounded, 20 of them were with single injury （80%） and 5 with muhiple injuries （20%）. The incidence of single injury was higher than those multiple trauma , P 〈0.05. The incidence of extremities, trauma, and soft tissue injury were higher than the others. The main flow of wounded （92%） occurred within the first 24 hours after earthquake, much higher than any other time , P 〈 0.05. The number of patients aged between 19 and 45 years old was larger than any other age group, P 〈0.01. Conclusion With extensive experience and a considerable emergency response p]an which had helped form an efficient emergency medical service system. It is considered being effective in shortening the time to respond, as well as enhancing the capability in a rescue mission.