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[消除化学事故医学后果的组织与治疗方面]

[Organizational and therapeutic aspects of the elimination of the medical consequences of chemical accidents].

作者信息

Khalimov Yu Sh, Pershin V N, Rusev T, Tsepkova G A, Babak A V

出版信息

Voen Med Zh. 2016 May;337(5):17-21.

PMID:30592575
Abstract

During the liquidation of consequences of chemical accidents the main task is minimization o the population losses and the provision of effective medical care to. the victims. Training experience related to chemical accidents, shows the need for constant readiness of health facilities in the area of the chemical industry accommodation, planning of the medical forces and resources reserve. The most important elements of medical care in chemical accidents are affected sorting, intensive therapy and reanimation in cases of severe injuries, the organization of the observation of persons with initial minor manifestations of intoxication. Emergency assistance should be provided in full volume as soon as possible. It .is essential to provide enough oxygen and required. drugs (hormonal drugs, diuretics, antibiotics, anticonvulsants, analgesics, and others). Multistage evacuation should be excluded and should be:done the planned training within the medical service stuff with toxicological profile.

摘要

在化学事故后果清理过程中,主要任务是将人员损失降至最低,并为受害者提供有效的医疗救治。与化学事故相关的培训经验表明,化工产业所在地的医疗机构需要随时做好准备,规划好医疗力量和资源储备。化学事故医疗救治的最重要要素包括对受害者进行伤情分类、对重伤者进行强化治疗和复苏,以及对有初期轻微中毒表现的人员进行观察。应尽快全面提供紧急援助。必须提供足够的氧气和所需药物(激素类药物、利尿剂、抗生素、抗惊厥药、镇痛药等)。应排除多级疏散,并应对具有毒理学背景的医疗服务人员进行有计划的培训。

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