235例院前急救分析  

CLINICAL ANALYSIS OF 235 CASES OF PRE-HOSPITALIZED EMERGENCY TREATMENT

作　　者：冯欣蘅[1] 崔华中[1] 韩溟[1] 洪春燕[1] 

机构地区：[1]汕头大学医学院第二附属医院,广东汕头515041

出　　处：《现代医院》2004年第10期26-27,共2页Modern Hospitals

摘　　要：目的　探讨院前急救的特点。方法　回顾性分析 2 35例院前急救的疾病分类及心肺复苏(CPR)成功率状况。结果　需现场急救的疾病前 3位是脑血管疾病、外科急症、心血管疾病 ,分别占 2 6 38%、2 3 38%和 17 4 5 % ;现场需CPR者 5 3例 ,4 0～ 4 5岁以下以车祸、坠楼、中毒、意外居多 ,6 0岁以上以心、脑血管疾病为主 ,CPR成功率低 ,仅 5 6 6 % ,主要与CPR开始时间延迟相关。结论　院前急救的重点是心、脑血管疾病和外伤 ;缩短CPR开始时间 。Objective To discuss the characteristic of pre-hospitalized emergency treatment. Methods Retrospective analysis of the nosotaxy and the success ratio of cardiopulmonary resuscitation (CPR) of 235 cases. Results The diseases ranged advanced that need spot emergency treatment are cerebrovascular diseases, surgical emergency and cardiovascular diseases, which are 26.38%, 23.38% and 17.45%, respectively. 53 cases needed CPR in spot. The patients under 40～45 are mainly wounded from traffic accident, falling from building, poisoning and suddenness. The patients older than 60 are mainly suffered from cardio- or cerebro- vascular diseases, whose ratio of success was low, 5.66% ,owing to the late use of CPR. Conclusion The keystone of pre-hospitalized emergency treatment is cardio- or cerebro- vascular diseases and trauma. Using CPR as far as possible and improve the ratio of success in CPR need effort in every aspects.

关 键 词：脑血管疾病 CPR 院前急救 抢救成功率 外科急症 心肺复苏 疾病分类 状况 目的 现场 

分 类 号：R605[医药卫生—外科学] R459.7[医药卫生—临床医学]