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目的分析一起特大交通事故的院内救治流程和后期处理措施,探讨公共突发事件在院内的合理、及时、有效的处置方法,总结救治过程中的经验和教训,强调危重患者在ICU治疗的必要性和重要意义。方法 2011年9月11日,某高速公路发生一起特大交通事故,14例伤员送至我院,1例途中死亡,13例伤者得到合理即时救治。受伤部位涉及头胸腹、脊柱四肢、直肠阴道等,早期手术处置12例(其中1例危重患者开胸前后在ICU救治),5例7次在伤后5～12d进行骨折内固定手术。结果 1例软组织挫伤病儿,观察3d出院;8例救治成功,无明显并发症发生;4例转院治疗,均在外院获得良好的治疗效果。结论应对公共突发事件,合理安排流程及早期恰当处置尤为重要;多学科多专业合作,对保证患者安全、减少漏诊误诊和并发症发生大有裨益。这次成功的救治,为今后在综合性医院处理类似突发事件提供了有意义的参考。
Objective To analyze the internal treatment process and the post-treatment measures of a large-scale traffic accident, discuss the reasonable, timely and effective disposal methods of public emergencies in the hospital, summarize the experience and lessons in the treatment process, and emphasize the necessity of treating critically ill patients in the ICU And important. Methods On September 11, 2011, a major traffic accident occurred on a highway. 14 injured patients were sent to our hospital. One patient died on the way and 13 injured patients were treated immediately and reasonably. Injured parts involving the head and abdomen, spine limbs, rectovaginal, early surgical treatment of 12 cases (1 case of critically ill patients before and after thoracotomy in the ICU treatment), 5 cases 7 times in 5 ~ 12d after injury fracture fixation. Results 1 case of soft tissue contusion in children, 3d observed discharge; 8 cases of successful treatment, no significant complications occurred; 4 cases of transfer of treatment, all received good treatment in the outer hospital. Conclusions It is particularly important to deal with public emergencies, arrange the process reasonably and treat them properly early. Multidisciplinary and multi-disciplinary cooperation is very helpful to ensure patient safety, reduce misdiagnosis and complications. This successful treatment provides a meaningful reference for handling similar emergencies in general hospitals in the future.