痛心!江苏响水化工厂爆炸事故伤亡惨重!(内附危险化学品爆炸伤现场卫生应急处置专家共识)

2019-03-22 新华社 新华社

3月21日下午14时48分左右,位于江苏省盐城市响水县陈家港镇的江苏天嘉宜化工有限公司发生爆炸事故。截至22日7时,响水化工厂爆炸事故死亡人数已升至44人,危重32人,重伤58人,还有部分群众不同程度受伤,当地共接收医治伤员640名。据新华社报道,本次发生事故的江苏天嘉宜化工有限公司主要生产化学原料和化学制品,经营范围包括间羟基苯甲酸、苯甲醚等。该公司在响水负责的总经理张某在事故中受伤并接受救治,

3月21日下午14时48分左右,位于江苏省盐城市响水县陈家港镇的江苏天嘉宜化工有限公司发生爆炸事故。截至22日7时,响水化工厂爆炸事故死亡人数已升至44人,危重32人,重伤58人,还有部分群众不同程度受伤,当地共接收医治伤员640名。


据新华社报道,事故发生后,江苏已先后调派12个市消防救援支队,共73个中队、930名指战员、192辆消防车,9台重型工程机械赶赴现场处置。截至22日7时,3处着火的储罐和5处着火点已全部扑灭。

本次发生事故的江苏天嘉宜化工有限公司于2007年4月成立,占地面积约220亩,现有职工195人,其中各类工程技术人员45人。主要生产化学原料和化学制品,经营范围包括间羟基苯甲酸、苯甲醚等。天嘉宜化工有限公司在响水负责的总经理张勤岳在事故中受伤并接受救治,相关人员均已被公安机关控制。

梅斯医学小编紧急查找了相关烧伤和爆炸伤的救治措施,希望给现场参与救治的医护人员做个参考。对于烧伤、爆炸伤的现场治疗基本原则:

伤者的损伤往往是多方面、复合性的。有高温损伤、烧伤、创伤,创伤又包括颅脑、脊柱、胸腔、四肢肌肉、骨骼……等损伤,带来人体各个系统的损伤。灾难现场与医院内救治完全不同:

现场救治仪器短缺、救治人员也可能经验不足,这些因素直接影响到伤员的后续救治:

1.对伤情快速、正确判断。再强调,现场是救命的,不是治病的。是先进行气管插管还是先进行开放性损伤、烧伤、胸腔、颅脑伤的抢救?救治顺序直接导致伤员能否活下来。

2.如果伤员失血过多,或者心脏损伤,或者呼吸心跳不行了,血压很低,首先进行心肺复苏。

3.对于暴露器官的救治:如开放性骨折等,要马上封闭创口。举例子,如果腹部开放性损伤,又没有救治条件,可以现场找一个干净的脸盆扎上去勒紧,保证器官不遗失。如果是脊柱损伤,现场救援人员可以用硬件门板将伤员固定住,整体移动,万不可乱抬乱搬,以免造成进一步损伤。对于其他的伤口,止血、固定、包扎,灾难现场的木板、木棍,都可以临时作为夹权、支具来使用。

4.对于创面:可以用干净的被单将创面裹起来,再送医院。

到了医院,其实还是从以上几个方面考虑救治,不过条件更完备了。可以进行全身检查,分出轻重缓急,再进行处理。因为现场的伤情可能包括:烧伤、砸伤等各种创伤,整体救治、全身伤情判断很重要。我们有创伤评分标准,对于具体伤员,根据伤情不同,救治顺序不同。

总体原则,还是先保持生命体征稳定,抢救最致命部位。当然,抗休克、搞感染、全身营养支持同步进行,这些大医院ICU的医生都非常有经验。接着是损伤控制治疗,接下来才是第二次、第三次手术,早期康复治疗,心理治疗。

2014年 8月 2日昆山发生特大铝粉尘爆炸事故和 2015年 8月 12日天津危险化学品仓库爆炸所致伤害类型就是典型的冲烧毒复合伤,伤亡惨重。对此,快速卫生应急处置与正确的医学救援十分重要。为此中国研究型医院学会卫生应急学专业委员会制定了“危险化学品爆炸伤现场卫生应急处置专家共识(2016)

共识中提到现场处置主要措施:(1)尽快建立绿色安全有效的急救通道。(2)快速切断事故源,达到灭火、控爆、防爆等是关键。(3)污染区控制:检测确定污染区边界,给出明显标志,对周围交通实行管制,制止人员和车辆进入。(4)抢救中毒人员:撤离中毒人员至安全区域抢救,随后送至医院进行紧急治疗。(5)检测确定危险化学品性质及危害程度,以掌握毒物扩散情况。(6)组织污染区居民防护与撤离:指导受污染区居民学习自我防护方法,必要时组织他们撤离。(7)受污染区洗消:根据危险化学品理化性质和受污染情况进行洗消。(8)寻找、处理动物尸体,防止腐烂危害环境。(9)做好气象、交通、通信、物资、防护等保障工作。(10)所有抢救小组人员应根据毒物情况穿戴相应防护器材,并严守防护纪律,危险化学品爆炸现场急救工作相当复杂,急救人员需要知道其理化、毒性特点,会自我防护及保护自身安全。由于现场情况瞬息万变,有关人员需要机动灵活、临时应变。基本原则:预有准备,快速反应;立体救护,建立体系;统一指挥,密切协同;集中力量,保障重点。只有这样,才能真正做到有效的科学救治。

详细内容,点击下方链接查看共识全文!

危险化学品爆炸伤现场卫生应急处置专家共识

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    2019-03-24 yuanming9
  4. [GetPortalCommentsPageByObjectIdResponse(id=1845407, encodeId=3aea184540e15, content=<a href='/topic/show?id=5d2f206482e' target=_blank style='color:#2F92EE;'>#专家共识#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=20648, encryptionId=5d2f206482e, topicName=专家共识)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=568152, createdName=snowpeakxu, createdTime=Tue Aug 13 14:29:00 CST 2019, time=2019-08-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1706942, encodeId=2ab91e06942c8, content=<a href='/topic/show?id=28e833490c8' target=_blank style='color:#2F92EE;'>#化学品#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=33490, encryptionId=28e833490c8, topicName=化学品)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=8d4631327029, createdName=ms3994565386320060, createdTime=Tue Jul 02 12:29:00 CST 2019, time=2019-07-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1464378, encodeId=65e914643e83a, content=<a href='/topic/show?id=9b04641580e' target=_blank style='color:#2F92EE;'>#水化#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=64158, encryptionId=9b04641580e, topicName=水化)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f1276671681, createdName=yuanming9, createdTime=Sun Mar 24 01:29:00 CST 2019, time=2019-03-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1502970, encodeId=0bf115029e0c9, content=<a href='/topic/show?id=7c606e37540' target=_blank style='color:#2F92EE;'>#爆炸伤#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=67375, encryptionId=7c606e37540, topicName=爆炸伤)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=98369588750, createdName=lg.zhao, createdTime=Sun Mar 24 01:29:00 CST 2019, time=2019-03-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=363404, encodeId=a1f536340431, content=谢谢分享学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=145, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20231215/ac08b4d4cecf4bd3b9af86e00dcbca38/f6b6a60efd854ff191eb5c611ec7dd12.jpg, createdBy=8afb2071832, createdName=15938038573红旗飘飘, createdTime=Sat Mar 23 07:23:16 CST 2019, time=2019-03-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=363364, encodeId=c01d3633649b, content=谢谢分享学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=134, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/Q3auHgzwzM4o2XVpJ6449yqDsjibydI5HnJ8MibGxNn4HZiaZib0bdfibbwoz3KQrIyN9AGxq36ZlZRNicYlPfOOWMtwgsajY6mGNFiaPclFdowjD0/0, createdBy=97bd1338592, createdName=清风拂面, createdTime=Fri Mar 22 11:50:44 CST 2019, time=2019-03-22, status=1, ipAttribution=)]
    2019-03-24 lg.zhao
  5. [GetPortalCommentsPageByObjectIdResponse(id=1845407, encodeId=3aea184540e15, content=<a href='/topic/show?id=5d2f206482e' target=_blank style='color:#2F92EE;'>#专家共识#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=20648, encryptionId=5d2f206482e, topicName=专家共识)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=568152, createdName=snowpeakxu, createdTime=Tue Aug 13 14:29:00 CST 2019, time=2019-08-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1706942, encodeId=2ab91e06942c8, content=<a href='/topic/show?id=28e833490c8' target=_blank style='color:#2F92EE;'>#化学品#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=33490, encryptionId=28e833490c8, topicName=化学品)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=8d4631327029, createdName=ms3994565386320060, createdTime=Tue Jul 02 12:29:00 CST 2019, time=2019-07-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1464378, encodeId=65e914643e83a, content=<a href='/topic/show?id=9b04641580e' target=_blank style='color:#2F92EE;'>#水化#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=64158, encryptionId=9b04641580e, topicName=水化)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f1276671681, createdName=yuanming9, createdTime=Sun Mar 24 01:29:00 CST 2019, time=2019-03-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1502970, encodeId=0bf115029e0c9, content=<a href='/topic/show?id=7c606e37540' target=_blank style='color:#2F92EE;'>#爆炸伤#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=67375, encryptionId=7c606e37540, topicName=爆炸伤)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=98369588750, createdName=lg.zhao, createdTime=Sun Mar 24 01:29:00 CST 2019, time=2019-03-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=363404, encodeId=a1f536340431, content=谢谢分享学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=145, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20231215/ac08b4d4cecf4bd3b9af86e00dcbca38/f6b6a60efd854ff191eb5c611ec7dd12.jpg, createdBy=8afb2071832, createdName=15938038573红旗飘飘, createdTime=Sat Mar 23 07:23:16 CST 2019, time=2019-03-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=363364, encodeId=c01d3633649b, content=谢谢分享学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=134, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/Q3auHgzwzM4o2XVpJ6449yqDsjibydI5HnJ8MibGxNn4HZiaZib0bdfibbwoz3KQrIyN9AGxq36ZlZRNicYlPfOOWMtwgsajY6mGNFiaPclFdowjD0/0, createdBy=97bd1338592, createdName=清风拂面, createdTime=Fri Mar 22 11:50:44 CST 2019, time=2019-03-22, status=1, ipAttribution=)]
    2019-03-23 15938038573红旗飘飘

    谢谢分享学习

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=1845407, encodeId=3aea184540e15, content=<a href='/topic/show?id=5d2f206482e' target=_blank style='color:#2F92EE;'>#专家共识#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=20648, encryptionId=5d2f206482e, topicName=专家共识)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=568152, createdName=snowpeakxu, createdTime=Tue Aug 13 14:29:00 CST 2019, time=2019-08-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1706942, encodeId=2ab91e06942c8, content=<a href='/topic/show?id=28e833490c8' target=_blank style='color:#2F92EE;'>#化学品#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=33490, encryptionId=28e833490c8, topicName=化学品)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=8d4631327029, createdName=ms3994565386320060, createdTime=Tue Jul 02 12:29:00 CST 2019, time=2019-07-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1464378, encodeId=65e914643e83a, content=<a href='/topic/show?id=9b04641580e' target=_blank style='color:#2F92EE;'>#水化#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=64158, encryptionId=9b04641580e, topicName=水化)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f1276671681, createdName=yuanming9, createdTime=Sun Mar 24 01:29:00 CST 2019, time=2019-03-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1502970, encodeId=0bf115029e0c9, content=<a href='/topic/show?id=7c606e37540' target=_blank style='color:#2F92EE;'>#爆炸伤#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=67375, encryptionId=7c606e37540, topicName=爆炸伤)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=98369588750, createdName=lg.zhao, createdTime=Sun Mar 24 01:29:00 CST 2019, time=2019-03-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=363404, encodeId=a1f536340431, content=谢谢分享学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=145, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20231215/ac08b4d4cecf4bd3b9af86e00dcbca38/f6b6a60efd854ff191eb5c611ec7dd12.jpg, createdBy=8afb2071832, createdName=15938038573红旗飘飘, createdTime=Sat Mar 23 07:23:16 CST 2019, time=2019-03-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=363364, encodeId=c01d3633649b, content=谢谢分享学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=134, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/Q3auHgzwzM4o2XVpJ6449yqDsjibydI5HnJ8MibGxNn4HZiaZib0bdfibbwoz3KQrIyN9AGxq36ZlZRNicYlPfOOWMtwgsajY6mGNFiaPclFdowjD0/0, createdBy=97bd1338592, createdName=清风拂面, createdTime=Fri Mar 22 11:50:44 CST 2019, time=2019-03-22, status=1, ipAttribution=)]
    2019-03-22 清风拂面

    谢谢分享学习

    0