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目的回顾性分析四川大学华西医院的875台次汶川地震伤员手术及麻醉方式等情况,为准确分析地震伤员的手术需求、手术人力和物资配备,建立区域性国家级医疗救援中心提供数据。方法收集地震后第1天到31天的地震伤员基本情况、手术和麻醉方式,分析其时间变化趋势,并与我院震前1个月手术情况进行比较。数据经双人核对,通过Excle进行分析。结果截至震后31天,我院共对地震伤员进行手术1265台次,其中在外科手术室内完成手术875台次。第1次手术高峰发生在震后3～4天,时间与第1次入院高峰吻合,且全部为急诊手术,以各类截肢术居首(43%)。第2次手术高峰发生在震后9～12天,时间为第2次入院高峰及延后2天,以择期手术为主(64%),伤员主要为复杂、重症需二期手术的骨伤患者,以各类骨折切开复位内固定术居首(61%)。结论我院在震后1月保质保量地完成了地震伤员的手术救治,显示了四川大学华西医院作为距离灾区最近的国家级医院在灾害医疗救援中的支撑作用,为未来合理配置医疗救援人力和物力等资源提供了决策依据。
Objective To retrospectively analyze the operation and anesthesia of 875 Wenchuan Earthquake wounded in West China Hospital of Sichuan University. To provide accurate data on surgical needs, surgical manpower and supplies of earthquake victims and establish a regional national medical rescue center. Methods The basic situation, operation and anesthesia methods of earthquake victims from the first day to the 31st day after the earthquake were collected, and the trend of the time was analyzed. The comparison was made with the one month before the earthquake. The data were double checked and analyzed by Excle. Results As of 31 days after the earthquake, a total of 1265 surgeries were performed in the wounded in our hospital, of which 875 were completed in the surgical operation room. The first operation peak occurred 3 to 4 days after the earthquake, and the time coincided with the first admission peak. All of them were emergency operations, with all types of amputation leading (43%). The second peak occurred 9-12 days after the earthquake, with the second admission peak and the second postponed for 2 days. Elective surgery was the mainstay (64%). The casualties were mainly complicated and severe injuries requiring secondary surgery Patients, with various types of fracture reduction and internal fixation topped (61%). Conclusions Our hospital completed the surgical treatment of the earthquake casualties in January of the earthquake with quality and quantity, showing that Huaxi Hospital of Sichuan University, as the nearest national hospital in disaster-stricken areas, plays a supporting role in disaster medical rescue and rationally allocates medical rescue workers for the future Resources and other resources provide a basis for decision-making.