汶川地震所致四肢骨与软组织开放损伤的处置体会
China Journal of Emergency Resuscitation and Disaster Medicine(2008)
Abstract
目的探讨在地震灾区现场处理地震所致四肢骨与软组织开放损伤的适当方法。方法在四川汶川地震灾区处理地震所致四肢骨与软组织开放损伤41例(49肢):Gustilo-Anderson I型3例(4肢),Gustilo-Anderson II型35例(41肢),Gustilo-Anderso IIIa型1例(2肢),Gustilo-Anderson IIIb型1例(1肢),Gustilo-Anderson IIIc型1例(1肢)。Gustilo-Anderson IIIa型及以下的伤口经双氧水-生理盐水-碘伏清洗,静脉点滴头孢曲松钠,石膏夹制动,分泌物消失后清创闭合伤口,12天后拆线。Gustilo-Anderson IIIb型及以上伤口经清洗、消毒、制动后转院。结果47例Gustilo-AndersonIIIa型及以下的伤口均愈合;2例Gustilo-Anderson IIIb型及以上伤口伤员失访。结论地震现场处理开放性骨和软组织伤口往往失去最佳处理时机。彻底清创和消毒伤口非常重要。针对具体情况采取适当措施能取得良好效果。
MoreTranslated text
Key words
Extremities,Earthquake-stricken area,Open trauma
AI Read Science
Must-Reading Tree
Example
![](https://originalfileserver.aminer.cn/sys/aminer/pubs/mrt_preview.jpeg)
Generate MRT to find the research sequence of this paper
Chat Paper
Summary is being generated by the instructions you defined