深圳市2002和2003年度经急诊科急救死亡病例对比研究  

Comparative Study on Death Cases in Emergency Departments in Shenzhen in 2002 and 2003

作　　者：贾清旺[1] 梁实[1] 江捍平 许四虎 张福林 郑静 庄辉坤[1] 谢若斯 周复 石平[1] 朱虹[1] 赵伟[1] 简洁[1] 周强[1] 谢建琴[1] 

机构地区：[1]广东省深圳市第二人民医院,518035 [2]深圳市卫生局 [3]深圳市卫生局 [4]不详

出　　处：《中国全科医学》2006年第14期1184-1186,共3页Chinese General Practice

基　　金：深圳市卫生局指定项目;深圳市政府立项课题(200404163)

摘　　要：目的 探讨急救患者死亡和伤残的原因，为进一步加强急救网络医院急诊科内涵建设提供客观依据。方法 对照2002和2003年全市各急救网络医院有急诊科急救记录的870份和1260份急救死亡病历填写调查表，用Profox6．0建立数据库，分析患者到达急诊科的时间、首诊医生到现场时间、首次医嘱时间、二线医生或上级医生到场时间及患者到急诊科后的死亡时间，并采用SPSS11．0软件进行统计学处理。结果 急救死亡患者到达急诊科的时间段以0：00-08：00最多，两年度分别为29.43％和31．10％，两年度间差别无显著性意义（P〉0．05）；两年度的首诊医师到场时间、首次医嘱时间的中位数均为0min，但时段分布间差别有显著性意义（P〈0．05）；两年度二线或上级医生到场中位时间分别为1min和0min，但时段分布间差别无显著性意义（P〉0．05）；两年度会诊医师到场中位时间分别为20min和5min，时段分布间差别有显著性意义（P〈0.05）；两年度患者到达急诊科死亡中位时间分别为55min和40min，差别有显著性意义（P〈0．05）。结论 监测和评估急诊科急救工作的时间因素、技术因素和质量因素等非常有必要，可依此加强管理。Objective To investigate the causes of mortality and invalidity in order to provide objective data for upgrading and consummating the construction of the emergency departments in emergency network hospitals. Methods The questionnaires were filled in according to 870 and 1260 death files during 2002 and 2003 from all the emergency network hospitals＇ emergency departments. The data base was set up with Profox 6.0 and analyzed with SPSS 11.0. Results The time band with most emergency death cases arriving at emergency departments was 0 ： 00 - 8 ： 00, 29.43% in 2002 and 31.10% in 2003, there was no significant difference between the two years （ P 〉 0. 05 ）. Both of the 2 years＇ median time of the doctor first arriving at the emergency place and the first given medical order were 0 minutes, but there was significant difference between two years＇ constituent ratios （ P 〈0. 05） ; both the senior doctor and the second line doctor arrived within zero and one minute; the consulting doctor arrived in 20 and 5 min （md） in 2002 and 2003, there was significant difference between two years＇ results （ P 〈 0. 05 ）. Conclusion It is necessary to monitor and evaluate the factors of time, technology and quality of emergency work in emergency department, according to which the management can be strengthened.

关 键 词：急诊室 医院 急救医护 死亡原因 

分 类 号：R605.97[医药卫生—急诊医学]