目的:总结分析25例地震伤致气性坏疽伤员的救治经验，探讨救治方案，为临床工作提高参考。方法:回顾性研究25例地震伤致气性坏疽伤员的早期临床表现，诊断方法，隔离措施、临床管理及其预后。结果:共收治25例气性坏疽伤员，无一例死亡。院外诊断7例，院内诊断18例。截肢18例，开放性截肢12例，非开放性截肢6例；扩创7例。发生急性肾功能衰竭2例，行血液透析治疗后肾功能恢复；无院内交叉感染的发生。结论:早期诊断、治疗、早期隔离及全面、系统护理可以提高临床救治水平，改善患者的预后，避免院内交叉感染的发生。
Objective To explore the effect of a teamwork intervention during their rehabilitation process for patients who had undergone an amputatation after an earthquake. Methods A total of 85 patients undergoing amputation were included in the study. A rehabilitation team consisting of orthopaedic doctors, orthopaedic nurses, physical therapists, professional therapists, psychology consultants, volunteers, social workers, patients and their relatives participated in the comprehensive rehabilitation program. The outcome of this teamwork intervention was evaluated. Results Statistically significant improvement was observed in terms of patients’ physiological, psychological and social roles after the teamwork intervention ( Plt;0.05). Conclusion The teamwork intervention can improve the overall outcome of rehabilitation, including quality of life, in amputated patients following an earthquake.