院前急救死亡157例病例分析及病因探讨  

The Analysis and Approach of Etiological factor on Pre-hospital Deceased 157 Cases

作　　者：卢迎芬[1] 卢开林[1] 李伟[1] 

机构地区：[1]开滦集团有限责任公司医院急诊科,唐山063000

出　　处：《中国医药导刊》2010年第8期1328-1328,1330,共2页Chinese Journal of Medicinal Guide

摘　　要：目的:对经唐山市开滦(集团)有限责任公司医院急诊科院前急救死亡患者流行病学情况进行分析,总结唐山地区院前急救死亡患者的病因规律及特点,从而降低急救患者死亡率和伤残率。方法:对2007年1月～2009年12月间唐山开滦急救中心院前急救死亡157例患者进行病因及危险因素与预防的回顾性临床分析与探讨。结果:157例院前急救死亡病例平均死亡年龄(63.84±25.36)岁;男:女之比2.4:1;死因:心源性猝死(54.78%)和脑卒中(27.39%)位居前两位。结论:心源性猝死及脑卒中是院前急救死亡的主要疾病病因,中毒、自杀和意外事故在年轻死亡患者占相当比例。而高龄、高血压、糖尿病、高心病、动脉粥样硬化是心源性猝死及脑卒中的主要危险因素。Objective： To study the epidemiological feature of dead patients in pre-hospital emergency care of Emergency Department, Kailuan hospital ,to summarize etiological factor regularity and feature of dead patients in pre-hospital care in Tangshan area, to cut down disability of injury and death rate according. Methods：To progress retrospective clinical analysis and approach of etiological factor, risk factor and precaution on the data of dead patients received pre-hospital emergency care collected by Tangshan Kailuan Emergency Center from 2007.01-2009.12. Results：Average decease age was （63.84±25.36） of 157cases; Male：Female was 2.4：1; cardiac sudden death（54.78%） and cerebral apoplexy（27.39%） were two major causes of death.Conelusions：Cardiogenic sudden death and cerebral apoplexy were principal disease etiological factor in pre-hospital deceased case. Poisoning, suicide, misadventure account considerable percentage in young deceased case. Advanced age, hypertension, diabetes, hypertensive heart disease, artherosclerosis were major risk factor of cardiogenic sudden death and cerebral apoplexy.

关 键 词：院前急救 死亡 病因 

分 类 号：R459.7[医药卫生—急诊医学]