汶川、玉樹地震傷病員醫療后送特征比較分析_《中國循證醫學雜志》

作者：

劉旭 ,  張鷺鷺 , 劉源 , 康鵬 , 沈燕

第二軍醫大學衛生勤務學系軍隊衛生事業管理研究所（上海 200433）;

關鍵詞：

地震傷病員后送醫療后送汶川地震玉樹地震

DOI：

10.7507/1672-2531.20120081

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目的　系統分析并比較汶川地震與玉樹地震傷病員的醫療后送特征，以期為將來應對特大地震傷病員醫療后送的組織實施提供借鑒。
方法　全面收集源于汶川、玉樹地震傷病員醫療后送的現場調研、衛生部工作報告、國內外官方網站，以及數據庫文獻資料，并采用描述性方法進行分析。
結果　從汶川到玉樹，傷病員后送原則趨于早期后送、全部后送；后送層級逐漸簡化，由災區一線經公路、鐵路直接后送至后方醫院，或以空運作為主要后送方式；分級救治概念弱化，力求早期進行專科治療。
結論　早期確立適宜的后送原則、建立簡化的后送體系、保證充足的衛生運力、科學評估各級救治能力是保證特大地震安全迅速有效的傷病員后送亟需解決的問題。

引用本文： 劉旭,張鷺鷺,劉源,康鵬,沈燕. 汶川、玉樹地震傷病員醫療后送特征比較分析. 中國循證醫學雜志, 2012, 12(5): 512-515. doi: 10.7507/1672-2531.20120081 復制

1.	劉旭, 張鷺鷺, 劉源, 等. 汶川抗震救災醫療后送調查分析及思考解放軍醫院管理雜志, 2009, 16(3): 249-251.
2.	Najafi I, van Biesen W, Sharifi A, et al. Early detection of patients at high risk for acute injury during disasters: developing of a scoring system based on the Bam earthquake experience. J Nephrol, 2008, 21: 776-782.
3.	Kopp JB, Ball LK, Cohen A, et al. Kidney patient care in disasters: Lessons from thehurricanes and earthquake of 2005. Clin J Am Soc Nephrol, 2007, 2: 814-824.
4.	Sternberg E, Lee GC, Huard D. Counting crises: US hospital evacuations, 1971-1999. Prehosp Disast Med, 2004, 19: 150-157.
5.	Paul SA. Civil–Military Collaboration in the Initial Medical Response to the Earthquake in Haiti. New Engl J Med, 2010, 362: e32.
6.	Tanaka H, Iwai A, Oda J, et al. Overview of evacuation and transport of patients following the 1995 Hanshin-Awaji earthquake. J Emerg Med, 1998, 16: 439-444.
7.	Mallick M, Aurakzai JK, Bile KM, et al. Large-scale physical disabilities and their management in the aftermath of the 2005 earthquake in Pakistan. Eastern Mediterranean Health Journal, 2010, 16: S98.
8.	Joseph LN, Virginia AM. Lessons from Hurricane Katrina, tsunamis, and other disasters. The Lancet, 2005, 366: 1144-1146.
9.	盧世壁. 汶川地震傷員救治分級處理的重要性. 解放軍醫學雜志, 2008, 33(8): 919-920.
10.	Gautschi OP, Cadoseh D, Rajan G, et al. Earthquakes and trauma: review of triage and injury —specific, immediate care. Prehosp Disaster Med, 2008, 23(2): 195-201.
11.	Thiel CC, Schneider JE, Hiatt D, et al. 911 EMS process in the Loma Prieta earthquake. Prehosp Disaster Med, 1992, 7: 348-358.
12.	李紅櫻, 代小舟, 劉蔚, 陳理. 5·12汶川大地震2196例住院傷員綜合分析. 實用醫院臨床雜志, 2008, 5(6): 26-28.
13.	田偉, 馬娟. 汶川地震住院傷員傷情及住院費用影響因素分析. 中華醫院管理雜志, 2010(3): 198-201.
14.	Hiroshi T. Overview of evacuation and transport of patients following the 1995 Hanshin-awaji earthquake. J Emerg Med, 1997, 16: 439-444.
15.	Mohebbi HA, Mehrvarz S, Saghafinia M, et al. Earthquake related injuries: assessment of 854 victims of the 2003 Bam disaster transported to tertiary referral hospitals. Prehosp Disast Med, 2008, 23: 510-515.
16.	劉瓊, 馬學華. 批量空運傷員的實踐和思考. 解放軍醫院管理雜志, 2007, 14(1): 25.
17.	Teichman PG, Donchin Y, Kot RJ. International Aeromedical Evacuation. New Engl J Med, 2007, 356(3): 11.

1. 劉旭, 張鷺鷺, 劉源, 等. 汶川抗震救災醫療后送調查分析及思考解放軍醫院管理雜志, 2009, 16(3): 249-251.
2. Najafi I, van Biesen W, Sharifi A, et al. Early detection of patients at high risk for acute injury during disasters: developing of a scoring system based on the Bam earthquake experience. J Nephrol, 2008, 21: 776-782.
3. Kopp JB, Ball LK, Cohen A, et al. Kidney patient care in disasters: Lessons from thehurricanes and earthquake of 2005. Clin J Am Soc Nephrol, 2007, 2: 814-824.
4. Sternberg E, Lee GC, Huard D. Counting crises: US hospital evacuations, 1971-1999. Prehosp Disast Med, 2004, 19: 150-157.
5. Paul SA. Civil–Military Collaboration in the Initial Medical Response to the Earthquake in Haiti. New Engl J Med, 2010, 362: e32.
6. Tanaka H, Iwai A, Oda J, et al. Overview of evacuation and transport of patients following the 1995 Hanshin-Awaji earthquake. J Emerg Med, 1998, 16: 439-444.
7. Mallick M, Aurakzai JK, Bile KM, et al. Large-scale physical disabilities and their management in the aftermath of the 2005 earthquake in Pakistan. Eastern Mediterranean Health Journal, 2010, 16: S98.
8. Joseph LN, Virginia AM. Lessons from Hurricane Katrina, tsunamis, and other disasters. The Lancet, 2005, 366: 1144-1146.
9. 盧世壁. 汶川地震傷員救治分級處理的重要性. 解放軍醫學雜志, 2008, 33(8): 919-920.
10. Gautschi OP, Cadoseh D, Rajan G, et al. Earthquakes and trauma: review of triage and injury —specific, immediate care. Prehosp Disaster Med, 2008, 23(2): 195-201.
11. Thiel CC, Schneider JE, Hiatt D, et al. 911 EMS process in the Loma Prieta earthquake. Prehosp Disaster Med, 1992, 7: 348-358.
12. 李紅櫻, 代小舟, 劉蔚, 陳理. 5·12汶川大地震2196例住院傷員綜合分析. 實用醫院臨床雜志, 2008, 5(6): 26-28.
13. 田偉, 馬娟. 汶川地震住院傷員傷情及住院費用影響因素分析. 中華醫院管理雜志, 2010(3): 198-201.
14. Hiroshi T. Overview of evacuation and transport of patients following the 1995 Hanshin-awaji earthquake. J Emerg Med, 1997, 16: 439-444.
15. Mohebbi HA, Mehrvarz S, Saghafinia M, et al. Earthquake related injuries: assessment of 854 victims of the 2003 Bam disaster transported to tertiary referral hospitals. Prehosp Disast Med, 2008, 23: 510-515.
16. 劉瓊, 馬學華. 批量空運傷員的實踐和思考. 解放軍醫院管理雜志, 2007, 14(1): 25.
17. Teichman PG, Donchin Y, Kot RJ. International Aeromedical Evacuation. New Engl J Med, 2007, 356(3): 11.

《中國循證醫學雜志》

汶川、玉樹地震傷病員醫療后送特征比較分析

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《中國循證醫學雜志》

汶川、玉樹地震傷病員醫療后送特征比較分析

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