目的 分析華西醫(yī)院收治的地震死亡病例的危險因素和對策。方法 收集四川I大學(xué)華西醫(yī)院地震死亡病例數(shù)據(jù)記錄，對死亡的年齡分布、創(chuàng)傷病因種類及救治時間等進(jìn)行回顧性的比較分析。結(jié)果 截至2008年6月12日共收治2702例傷病員，死亡27例。在地震相關(guān)死亡病例中，高齡(／ gt;70歲)、重型顱腦外傷和非外傷原發(fā)基礎(chǔ)疾病導(dǎo)致的死亡最多?！? d的死亡與現(xiàn)場急救及轉(zhuǎn)運(yùn)不當(dāng)相關(guān)，≥1 d的死亡與基礎(chǔ)疾病相關(guān)。結(jié)論 對7O歲以上，尤其是伴發(fā)非外傷原發(fā)基礎(chǔ)疾病的傷員，應(yīng)加強(qiáng)關(guān)注。ICU醫(yī)師參與院前、院內(nèi)各專科的現(xiàn)場危重傷員篩查與緊急處置工作有助于降低病死率。
引用本文： 薛欣盛,張中偉,周琰,鄧麗靜,王波,康焰. 汶川地震死亡相關(guān)因素分析. 中國呼吸與危重監(jiān)護(hù)雜志, 2008, 08(4): 245-247. doi: 復(fù)制
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- 2. Tanaka H, Oda J, Iwai A, et al.Morbidity and mortality of hospitalized patients after the 1995 Hanshin-Awaji earthquake. Am J Emerg Med, 1999,17:186-191.
- 3. Sever MS, Vanholder R, Lameire N, et al.Management of crush-related injuries after disasters.N Engl J Med,2006,354:1052-1063.
- 4. Vanholder R, van der Tol A, De Smet M, et al. Earthquakes and crush syndrome casualties: lessons learned from the Kashmir disaster. Kidney Int, 2007,71:17-23.
- 5. 陳鋒,林才經(jīng).院前急救與災(zāi)難的緊急醫(yī)療救援.中華急診醫(yī)學(xué)雜志,2006,15:479-480.
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- 7. Kai T, Ukai T, Ohta M, et al.Hospital disaster preparedness in Osaka, Japan. Prehosp Disaster Med,1994,9:47-52.
- 8. Bulut M, Fedakar R, Akkose S, et al. Medical experience of a university hospital in Turkey after the 1999 Marmara earthquake. Emerg Med J,2005,22:494-498.