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在汶川地震医疗救援中,区域省级医院的战略支持作用。

Strategic supporting role of a regional state-level hospital during medical rescue after Wenchuan earthquake.

机构信息

West China Hospital, Sichuan University, Chengdu, Sichuan, China.

出版信息

J Evid Based Med. 2008 Nov;1(1):15-9. doi: 10.1111/j.1756-5391.2008.00002.x.

DOI:10.1111/j.1756-5391.2008.00002.x
PMID:21348971
Abstract

Shortly after the Wenchuan earthquake, the administrative leaders of West China Hospital accurately defined the role of the hospital during the medical rescue work as the treatment center for seriously wounded people, the support center for local hospitals and clinics in the disaster areas in Sichuan Province, and the logistics support center for medical teams from other provinces. Integrated leadership of management and efficient multidepartment co-ordination and co-operation were emphasized. The hospital was immediately transformed from regular mode into a double-track emergency mode. Scientific allocation and dispatch of resources were ensured to meet the changing demand from all levels of rescue work. Three stages were defined based on the conditions of wounded people delivered to the hospital, with different main focuses for each stage. Because of the multidisciplinary co-operation and concerted efforts of a large number of experts from other provinces and countries, an effective and efficient medical rescue service was offered to all wounded people. Until 2 June 2008, 2618 injured people from the disaster area have been treated, of whom 1751 were admitted to the inpatient department, 1135 were seriously wounded, 127 were admitted into the intensive care unit, 1239 underwent surgery, and 77 were treated with haemodialysis. There was an inpatient mortality less than 0.7%. Moreover, even during such a period, routine medical service was offered to patients other than people wounded in the disaster.

摘要

在汶川地震发生后不久,华西医院的行政领导就准确地为医院在医疗救援工作中定义了角色,即作为重伤员的治疗中心、四川省灾区当地医院和诊所的支持中心,以及其他省份医疗队的后勤保障中心。强调综合管理和高效多部门协调与合作。医院立即从常规模式转变为双轨紧急模式。确保科学配置和调度资源,以满足各级救援工作不断变化的需求。根据送往医院的伤员情况,确定了三个阶段,每个阶段的重点都不同。由于来自其他省份和国家的大量专家的多学科合作和共同努力,为所有伤员提供了有效和高效的医疗救援服务。截至 2008 年 6 月 2 日,已收治灾区 2618 名伤员,其中 1751 名住院,1135 名重伤,127 名入住重症监护病房,1239 名接受手术,77 名接受血液透析。住院死亡率低于 0.7%。此外,即使在这样的时期,医院也为除灾区伤员以外的患者提供常规医疗服务。

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