目的:總結分析25例地震傷致氣性壞疽傷員的救治經驗，探討救治方案，為臨床工作提高參考。方法:回顧性研究25例地震傷致氣性壞疽傷員的早期臨床表現，診斷方法，隔離措施、臨床管理及其預后。結果:共收治25例氣性壞疽傷員，無一例死亡。院外診斷7例，院內診斷18例。截肢18例，開放性截肢12例，非開放性截肢6例；擴創7例。發生急性腎功能衰竭2例，行血液透析治療后腎功能恢復；無院內交叉感染的發生。結論:早期診斷、治療、早期隔離及全面、系統護理可以提高臨床救治水平，改善患者的預后，避免院內交叉感染的發生。
Objective To explore the effect of a teamwork intervention during their rehabilitation process for patients who had undergone an amputatation after an earthquake. Methods A total of 85 patients undergoing amputation were included in the study. A rehabilitation team consisting of orthopaedic doctors, orthopaedic nurses, physical therapists, professional therapists, psychology consultants, volunteers, social workers, patients and their relatives participated in the comprehensive rehabilitation program. The outcome of this teamwork intervention was evaluated. Results Statistically significant improvement was observed in terms of patients’ physiological, psychological and social roles after the teamwork intervention ( Plt;0.05). Conclusion The teamwork intervention can improve the overall outcome of rehabilitation, including quality of life, in amputated patients following an earthquake.