急诊科成年死亡患者的流行病学调查  

Epidemiological Study of Adult Death in Emergency

作　　者：王承辉[1] 李燕[1] 阮海林[1] 陆仁艳[1] 何碧云[1] 韦秋银[1] 

机构地区：[1]广西医科大学第四附属医院,545005

出　　处：《岭南急诊医学杂志》2010年第4期273-274,共2页Lingnan Journal of Emergency Medicine

摘　　要：目的:探讨急诊科成年死亡患者的流行病学特点。方法:对2004年1月至2008年12月我科成年死亡病例的流行病学资料进行回顾性分析。结果:男女比例在70岁之前各年龄段为5～2∶1,70～80岁为1∶1,81岁以后则为1∶2;总平均死亡年龄53.34岁与男性的51.15岁相近,明显低于女性的61.46岁(P<0.05):前五位死因分别为各种创伤(37.50%)、脑血管疾病(17.59%)、心血管疾病(17.13%)、恶性肿瘤(10.19%)和慢性阻塞性肺病(COPD,5.56%)。50岁以下青年人的主要死因为各种创伤和脑血管疾病、恶性肿瘤,50～70岁年龄段为心脑血管疾病和恶性肿瘤,60岁以上则是COPD。结论:各种创伤、脑心血管疾病及恶性肿瘤是急诊科成年患者的主要死因,及时正确抢救能降低其病死率。Objective：To explore the epidemiology characteristics of adult death in department of emergency. Methods：The mortality data of adult treated in emergency were analyzed from Jan 2004 to Dee 2008 retrospectively. Results：Male patients were more than female patients in all adult death with below 70 years old（5-2：1 ）,70-80 years old （1：1）and over 80 years old （l：2）.The average death age was 53.34 years, similar to male （51.15 years） and significantly lower than that in female （61.46 years,P〈0.05）.The five leading causes of death were trauma（37.50%）, cerebrovascnlaro diseases（17.59%） ,CHD（17.13%） ,malignant tumor（10.19%） and COPD（5.56%）. The main causes of dead at below 50 years old were traumas,cerebrovascular diseases and malignant tumor.Majority dead causes in 50-70 years old group were cerebrovascular disease and malignant tumor. In over 60 years old group, the main dead cause was COPD. Conclusion：The three leading adult death causes were trauma,cerebrovaseular diseases and malignant tumor in the emergency.It may decrease mortality to emergency medical service and effective treatment early.

关 键 词：急诊 成人 死亡 流行病学 

分 类 号：R459.7[医药卫生—急诊医学] R181.3[医药卫生—治疗学]