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目的:了解地震后1周内地震伤伤员的特点。方法:询问地震后1周内就诊的伤员性别、年龄、来诊时间和方式、进行伤情判断并应用损伤严重程度计分法(injury severity score,ISS)进行评分,统计入院率,抢救成功率。结果:受伤人员以7~18岁年龄段最多;平均每小时来院(7.90±11.75)人,震后53 h、54 h形成2个来诊高峰,每小时来院人数分别为70人、58人,地震36 h后夜班伤员来院明显减少,第3天来院人数最多,为328人;四肢伤员最多,为565例,占46%;地震后第2天来院的伤员ISS评分最高,为(10.24±5.79)分;急诊科停留时间平均为(97.47±12.56)min,入院率为57.81%,抢救成功率为99.8%。结论:地震发生后第2天来院的伤员最重,第3天来院人数最多,36 h后每天夜班伤员人数明显减少。
Objective: To understand the characteristics of earthquake casualties within 1 week after an earthquake. Methods: The wounded ’s sex, age, visiting time and mode of treatment were queried within 1 week after earthquake. The injury severity was evaluated and the score was calculated by injury severity score (ISS). The hospitalization rate, rescue success rate . Results: The average age of injured persons was from 7 to 18 years old. The average hourly hospitalization rate was 7.90 ± 11.75. After the 53 h and 54 h after earthquake, two peak incidence rates were observed. The number of hospitalized patients per hour was 70 and 58, The number of hospitalized night wounded was significantly reduced 36 hours after the earthquake, with the highest number of hospital arrivals on Day 3 being 328; the highest number of limbs was 565, accounting for 46%; the highest ISS score was 10.24 ± 5.79 ). The average stay time in emergency department was (97.47 ± 12.56) min, the admission rate was 57.81%, and the rescue success rate was 99.8%. CONCLUSIONS: The wounded were the heaviest ones on the second day after the quake. The number of the wards was the highest on the third day, and the numbers of night wounded per night decreased significantly after 36 hours.