深圳市2002和2003年度院前急救死亡病例分析  

The Analyses on Pre-hospital Deceased Cases in Shenzhen City in 2002 and 2003

作　　者：贾清旺[1] 梁实[1] 江捍平 许四虎 朱虹[1] 赵伟[1] 周强[1] 张福林[3] 郑静[3] 陈清[1] 

机构地区：[1]深圳市急救医疗中心,518035 [2]深圳市卫生局 [3]深圳市医学信息中心

出　　处：《岭南急诊医学杂志》2007年第6期405-407,共3页Lingnan Journal of Emergency Medicine

基　　金：深圳市卫生局指定项目(深卫医发[2003]24号);深圳市科技立项(200404163)

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。方法:对照全市2002和2003年度1923例院前死亡资料填调查表,用Foxpro6.0建数据库,用SPSS11.0统计。结果:两个年度院前死亡率分别为2.37%和2.22%;院前死亡均以0∶00～8∶00最多(32.24%和31.53%);救护车院内反应时间平均3.40±2.27和2.09±4.68min;到达现场平均用时7.58±4.61和9.80±9.41min;往返医院用时平均44.19±44.11和38.19±27.58min;到达现场已死亡者占院前死亡总数的构成比为71.56%和78.97%;院前死因谱中交通事故由第一位(28.90%)下降为第三位(11.79%),心脑血管疾病由第二位(14.92%)上升为第一位(23.51%)。结论:深圳市经电话呼救患者院前死亡率较国内其他城市低;2003年度院内反应时间较2002年度明显缩短,但到达现场时间明显延长;院前急救死亡谱构成有改变。Objective： Aimed at problems in pre-hospital emergency care to cut down mortality. Methods： The questionnaires were filled in according to 1923 death cases＇ pre-hospital files from 65 hospitals in the emergency network. The data base was set up with Foxpro 6.0, analyzed with SPSS 11.0. Results： In 2002 and 2003, the out-call mortality was 2.37% and 2.22%; the average reactive time was 3.40±2.27 and 2.09±4.68 minutes. The average time from hospital to spot was 7.58±4.61 and 9.80±9.41 minutes; the to and fro time was 44.19±44.11 and 38.19±27.58 minutes; in the pre-hospital death causes construction, the traffic trauma decreased from No.1 （28.90%） to No.3 （11.79%）, and the cardioeerebrovascular diseases increased from No.2 （ 14.92% ）to No. 1 （23.51% ） ; 71.56% and 78.97% patients had been died when the ambulances reached the spots. Conclusion： The pre-hospital mortality in Shenzhen was lower than that in other cities in China, and that in 2003 was lower than that in 2002; The average reactive time in 2003 was shorter than that in 2002, but the average time from hospital to spot in 2003 was longer than that in 2002, as a result, the ratio of the died at spot increased before the ambulances reached. There were some changes in the pre-hospital death causes construction.

关 键 词：院前急救 死亡率 病例 深圳市 

分 类 号：R459.7[医药卫生—急诊医学]