高海拔地区非战时胸外伤的院前急救

摘要

目的 探讨高海拔地区非战时胸外伤的一站式院前急救.方法 2006年6月～2011年4月,在海拔1800 ～2000 m的滇中地区,利用军警信息共享、军警共建急救绿色通道,采用“一站式”院前急救胸部外伤780例,抢救方式为A(气道通畅)、B(人工呼吸)、C(循环支持)、D(人工除颤)、E(心电监护),还要考虑到高海拔低氧分压的地域因素.结果 呼救后抵达现场时间低于国内文献的报道,780例住院伤者院内死亡33例,占总救治数的4.2％,低于近期国内报道.结论 高海拔地区非战时胸部外伤的军警联动绿色通道的方式,符合目前平时性胸部外伤,也可用于战时胸外伤的院前急救.%Objective To discuss the one - step mode of pre - hospital care of chest trauma in non - wartime at high altitude. Methods From June 2006 to April 2011, in the central area of Yunnan Province at the altitude of 1,800 m to 2,000 m, one - step mode of pre - hospital care was adopted in 780 cases of chest trauma using the military and police information sharing and the green fast -track. Rescue procedures were A (clear airway) , B (artificial breathing) , C (circulation support) , D (artificial defibrillation) , and E ( electrocardiographic monitoring). At the same time, the environment factor of high altitude low oxygen partial pressure should also be considered. Results The time of arrival at the scene after call for help was shorter than the time reported by domestic literatures. Thirty three cases died among the 780 hospitalized patients, which accounted for 4. 2% of the total treatment number. The mortality rate was lower than that showed in recent literature reports. Conclusion The military and police green channel of chest trauma in non - wartime at high - altitude is suitable for the rescue of chest trauma and also can be used in the pre - hospital care of chest trauma in wartime.