Administration Office, Chinese Evidence-based Medicine Center, West China Hospital of Sichuan University, Chengdu, Sichuan, China.
J Evid Based Med. 2008 Nov;1(1):20-6. doi: 10.1111/j.1756-5391.2008.00010.x.
To describe the 1861 injured inpatients and deaths in the West China Hospital of Sichuan University after the Wenchuan earthquake, to provide evidence to help improve emergency plans for earthquake, and the establishment of state-level regional medical centers.
The analyses use, data provided by the Department of Information of the hospital up until 23 July 2008. Microsoft Excel for data input and SPSS 11.5 for statistical analysis were used.
By 23 July, 2728 people from the disaster areas had been treated in the hospital, of whom 872 were admitted to the emergency department and 1856 to the inpatient department (974 men, median age 43 years; 882 women, median age 46 years). Most (82.4%) patients were sent to the hospital within the first two weeks after the earthquake, and the number of inpatients reached its peak on day 8 (976 cases). Most (60.2%) of the inpatients were discharged between day 9 and day 18. The injured patients came mainly from Deyang, Aba Prefecture and Dujiangyan. On admission, the diagnoses were mainly fracture (54.8%), craniocerebral injury (9.8%), and thoracoabdominal injury (7.5%). Thirty-three patients died, including five who were dead on arrival at the hospital, one death in the emergency department, and 27 inpatient deaths.
The development of an emergency plan for medical rescue after an earthquake disaster is an essential step to enhance emergency response capability, to improve the scientific process of field triage, transport and transfer, and to ensure the rational allocation and application of healthcare resources after large disasters in the future.
描述 2008 年汶川地震后四川大学华西医院收治的 1861 名伤员和死亡人数，为改进地震应急计划和建立国家级区域性医疗中心提供依据。
利用医院信息科截至 2008 年 7 月 23 日提供的数据进行分析。数据录入采用 Microsoft Excel，统计分析采用 SPSS 11.5。
截至 7 月 23 日，该院共收治灾区伤员 2728 人，其中 872 人收入急诊科，1856 人收入住院部（男 974 人，中位年龄 43 岁；女 882 人，中位年龄 46 岁）。大多数（82.4%）伤员在地震后两周内被送到医院，住院人数于第 8 天达到高峰（976 例）。大多数（60.2%）伤员在第 9 天至第 18 天出院。伤员主要来自德阳市、阿坝州和都江堰市。入院诊断主要为骨折（54.8%）、颅脑损伤（9.8%）和胸腹部损伤（7.5%）。33 人死亡，包括入院时死亡 5 例，急诊科死亡 1 例，住院部死亡 27 例。
制订地震灾害医疗救援应急预案是增强应急反应能力、提高现场检伤分类、转运和后送工作的科学性、确保未来重大灾害后医疗资源合理配置和有效利用的重要步骤。
