Zhang Jianlin, Ding Wei, Chen Aimin, Jiang Hua
Departments of Plastic Surgery, Shanghai Changzheng Hospital, The Second Military Medical University, Shanghai, China.
J Trauma. 2010 Oct;69(4):964-9. doi: 10.1097/TA.0b013e3181e9f0e0.
: On May 12, 2008, an earthquake of magnitude 8.0 on Richter scale struck Sichuan Province of China and destroyed Wenchuan County. Two days later, a field hospital from the Second Military Medical University (Shanghai, China) arrived at Anxian County near the epicenter as a reinforcement hospital before rehabilitation of the local medical facilities. Surgical services in the field hospital were supplied by general, orthopedic, plastic, anesthetic, obstetrical surgeons, and two physicians. The plastic surgeons were responsible for assessment of all soft tissue injuries at the hospital and patient needs for plastic surgery services in a crisis intervention field hospital.
: Information was gathered regarding soft tissue injuries throughout the activities of the hospital. In addition, patient charts, operation reports, and entry and evacuation logs were reviewed for all patients who were admitted and treated in the field hospital.
: Of 1,013 patients who were treated in the field hospital in Wenchuan; 102 (10.07%) sought aid for soft tissue injuries, all of which were earthquake related. Twenty-one percent of the operations performed in the hospital were concerned with the treatment of soft tissue injuries, and 15% of the hospital beds were reserved for plastic surgery patients.
: Plastic surgery services at a field hospital play a prominent and irreplaceable role in rescuing casualties in formidable conditions especially in a serious earthquake situation.
2008年5月12日，中国四川省发生里氏8.0级地震，汶川县遭到破坏。两天后，第二军医大学（中国上海）的一家野战医院抵达震中附近的安县，作为当地医疗设施恢复前的增援医院。野战医院的外科服务由普通外科、骨科、整形外科、麻醉科、产科外科医生以及两名内科医生提供。整形外科医生负责评估医院内所有软组织损伤情况以及危机干预野战医院中患者对整形手术服务的需求。
收集了医院各项活动中有关软组织损伤的信息。此外，还查阅了所有在野战医院收治和治疗的患者的病历、手术报告以及入院和撤离记录。
在汶川野战医院接受治疗的1013名患者中，102名（10.07%）因软组织损伤寻求帮助，所有这些损伤均与地震有关。医院进行的手术中有21%涉及软组织损伤的治疗，15%的病床留给了整形外科患者。
野战医院的整形手术服务在恶劣条件下，尤其是在严重地震情况下抢救伤员方面发挥着突出且不可替代的作用。
