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1、意外骨科手术图片意外骨科手术图片11Xian, a city of history1100 years old1 Population: 1,306,280,000 at 00:00 on 1st, Nov Hongkang, Maco, Taiwan is not included Numbers of Province, municipality, county Province: 23 Autonomous Region: 5 Municipality directly under the Central Government: 4 Special administrative regi

2、on: 2 County and County level municipality: 37 County: 1642General data of China1HuNan 10ShanDong 10JiangXi 18AnHui17HeNan 28FuJian8HuBei25JiLin 5ChongQing12HeiLongJiang 11NingXia8ZheJiang3XinJiang 25LiaoNing9Tibet5ShaanXi 50Inner Mongolia31GanSu 41ShanXi35GuiZhou48HeBei39YunNan73HaiNan 5SiChuan31Gu

3、angDong3GuangXi 28Poor Country: 5781Traffic Accident in 2005 Traffic Accident: 450254 Death in traffic accident: 98738 Injured in accident: 469911 Direct financial loss: 1,880,000,000 CNY 2001-2004: Death: 100,000 Increasing rate of motorcycle (car, truck): 209%1 Transportation Law violation: 223,00

4、0,000 person-times Punishment: 171,000,000 person-times Overspeed: 12,390,000 times Over-Capacity of vehicles: 1,970,000 times Death over 10 in each accident: 47 Not included: Police not find Non-motorized road accident1 In 2006 Traffic Accident in 2006: 378781 89,455 died Transportation law violati

5、on: 130,000,000 person-times Overspeed: 16,000,000 person-times Tired driving: 200,000 person-times Drunk Driving: 650,000 person-times Motorcycle number at the end of Jun, 2007: 152,807,5981 Transportation Character: Large number of motorcycles, with great number of moto-bicycles with poor protecti

6、on Full of pedestrian, bicycles Road condition: long distance, wide spread, complex geographic, difficult to get in-time treatment Large number of population with high mobility of people4, over 1000 km move is very common High motorcycle unilization ratio1 Death rate in 30 minutes after accident: 85

7、% Death causing ratio: (death/(injured+died) Japan:0.9% USA:1.3% China:27.3% (year of 2000) Reason: can not get proper treatment in 30 minutes after the accidentEach year in China: 1 death in 6 minutes, 1 injured in 1 minutes1 Death ratio in all death of accident China: driver: 13.4% pedestrian and

8、bicycler: 45% Driver death ratio in all death of accident France: 63.5% Italy: 55.5% Germany 61.4% USA: 52.4%1Medical System in China Medical care and support include: Free medical service Medical insurance Medical help Medical system in China now: Basic medical insurance for urban workers and relat

9、ed personnel: By the end of Jun, 2003, covers 100,940,000 people1 Various compensatory medical insurance by employer social compensatory medical insurance commercial insurance company worker-union organized mutual medical insurance between workers Medical help: Local government pay for the medical t

10、reatment for very poor patient1 New type cooperative medical insurance policy in rural area By the end of 2006: covers 1451 counties and 508,000,000 persons Peasants: 410,000,000 peasant covering rate: 80.7%1 Community medical care service is promoted Let the patient get medical care in time Light d

11、isease in this service General practioner is encouraged for community medical service Encourage the doctors in large hospital work in community medical service for some time Clinics are required and supported Allow commercial investment in the service Encourage donation1 High Medical school: 177 Stu

12、dents in high medical school: 1,480,000 Primary medical school: 489Medical Schools in 2000 Year1Medical System in China Western Medicine Traditional Chinese Medicine Western Medicine+TCM Tibetan Medicine Uygur nationality Medicine Other minor nationality medicine (Mongolia Medicine, etc.)1Death Caus

13、e List: Top 101Staff in Medical Facility by the End of 2006 (Disease preventing center is no included) Total Staff: 5,279,000 Registered doctors and assistant doctors: 1,867,000 Registered nurses:1,406,000 Others: 2,006,000 Technician Management staff Logistics staff Etc.1Medical staff numbers1Hospi

14、tal Classification and Number Grade III hospital 1045 (Large general hospital) Grade II hospital: 5151 (Middle scaled hospital Grade I hospital: 2738 (small hospital) Not graded hospital: 103121 Hospital with Beds: less 100 beds: 11516 100-199 beds: 3803 200-499 beds: 2832 500-799 beds: 764 over 800

15、 beds : 33111 License classification: Clinical (internal medicine and surgery) Traditional Chinese Medicine Oral Medicine Public health care No subspecialty category1Musculoskeletal trauma care in traffic accident Enforcement law in: Driver training Management of the road usage Quality Control for t

16、ransportation company Quality control for vehicle producer Road construction Public education and training in first aid, traffic disasters Medical equipment improvement and exercise and training in medical facility1Data of highway traffic accident in Shaanxi provice in 1994-1999 3 highways included

17、Total distance: 370 km Total traffic accident: 1168 Injured and died: 1691 Injured: 1239 Died: 452 Death rate: 26.7% Pre-hospital death rate: 69.5%1 Time of death On site: 258 (57.1%) In transportation to hospital: 56(12.4%) In emergency room: 85(18.8%) In 24 hours: 34 (7.5%) After 24 hours: 19(4.2%)1The way of calling police Total: 1168 Telephone :433(37.1%) Police call assisted by passing by drivers: 302(25.8%) Victims Walk on foot: 176(15.1%) Road management staff find when patrol: 257(22%)1Ambulance arrival time in 40

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