目的 分析汶川地震伤员转运医疗救援中的影响因素. 方法 借助第三军医大学附属西南医院院前急救预案配置协调指挥人员、受过心理专业培训的急救专科医护人员和后勤保障人员进行转运伤员以及途中早期施行全程心理疏导. 结果 汶川地震伤员转运救援中,我院救援队员借助院前急救预案、专用器材库支持、整体救援模式和对伤员施行心理疏导,成功转运162例伤员. 结论 本次转运救援模式运行与途中心理救援实践提示,后方医院应建立应对特大灾害伤员心理应激的救援体制,建立健全应对特大灾害远程前接转运救援预案,完善与稳定应对特人灾害批苗伤员远程救援的专业医疗队伍以及建立和完善远程转运的专用医疗物资器材库.%Objective To explore the influencing factors during long-distance transportation and medical rescue of trauma patients in Wenchuan earthquake. Methods After Wenchuan earthquake, based on prehospital care scheme, we organized medical coordinators and psychologically trained medical staff in emergency medicine, cardiovascular medicine and logistics to transport trauma patients and pro-vide early psychological intervention during whole course of transportation. Results A total of 162 trauma patients were safely transported from Sichuan province to Chongqing relying on prehospital care scheme, equipment supplies, integrated rescue mode and psychological intervention during the transporta-tion. Conclusions Medical rescue mode and psychological intervention indicate that it is necessary to conduct psychological intervention for better transportation of patients for further medical treatments. In the meantime, we should establish medical rescue system for coping with psychological stress, improve rescue preparation scheme and professional medical care team for long-distance transportation and guaran-tee sufficient medical supplies in station hospitals.
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