深圳市2002年院前死亡病例普查  

The investigation of pre-hospital dead patients in Shenzhen city in 2002

作　　者：梁实[1] 江捍平 贾清旺[1] 庄辉坤[1] 石平[1] 谢若斯 朱虹[1] 赵伟[1] 简洁[1] 

机构地区：[1]深圳市急救医疗中心,深圳518035 [2]深圳市卫生局

出　　处：《中华急诊医学杂志》2004年第11期733-736,共4页Chinese Journal of Emergency Medicine

基　　金：深圳市卫生局指定项目 [编号 :2 0 0 3 -2 4]

摘　　要：目的　查找院前急救各环节存在的问题 ,降低急救死亡率和伤残率 ,为进一步建设和完善急救网络提供客观依据。方法　对照 2 0 0 2年全市 6 0个急救网点院前急救的死亡病历共 112 2例 ,填写调查表 ,用Profox 6 0建立数据库 ,用SPSS 11 0统计软件用分析。结果　院前出诊患者病死率 2 37%。经 12 0接警的院前死亡以 0 :0 0～ 8:0 0最多 (2 6 4 8% ) ;救护车院内反应时间平均 (3 4 0± 2 2 7)min ;院前反应时间 (10 98± 6 88)min ;现场急救时间 (2 1 5 0± 18 39)min ;返回医院用时 (6 6 1± 4 2 3)min ;气管插管、电击除颤、止血、包扎、固定等处置率均低于 10 % ;交通事故 (2 8 90 % )和其他机械损伤 (14 5 2 % )排在死因前两位。结论　院前急救在时间因素。Objective To investigate problems in each pre-hospital emergency treatment,to cut down mortality and invalidity,and to provide objective data for completing citys emergency network.Methods The questionnaires were filled according to 1 122 pre-hospital death files of 60 emergency networks in 2002.The data base was set up with Profox 6.0,added up and analyzed with SPSS 11.0.Results The out-call mortality was 2.37%.The time period with most dead patients was 0:00～8:00.The average response time of ambulance was(3.40±2.27)minutes. The average pre-hospital reaction time was(10.98±6.88)minutes. The field first aids consumed average(21.50±18.39)minutes.The return time was(6.61±4.23)minutes.The rate dealing with tracheal intubation,defibrillation,hemostasis,bandaging,fixation were all less than 10%.The first death cause was traffic accident,and the second was other injuries.Conclusion The pre-hospital emergency care in Shenzhen needs improvement in time,technology and quality factors.

关 键 词：院前死亡 院前急救 普查 急救网络 伤残率 死亡病历 出诊 机械损伤 病例 死亡率 

分 类 号：R181.3[医药卫生—流行病学]