广州市5525例院前死亡患者流行病学分析  

Epidemiological analysis of 5 525 cases in pre-hospital death for Guangzhou city

作　　者：张在其[1] 赖欣[2] 黄力[2] 欧阳文伟[3] 陈文标[1] 陈玮莹[1] 郭彦池[1] 杨正飞[1] 黄子通[1] 

机构地区：[1]中山大学孙逸仙纪念医院急诊科,广东广州510120 [2]广州市急救医疗指挥中心,广东广州510060 [3]广东省中医院临床流行病学室,广东广州510120

出　　处：《临床荟萃》2010年第24期2125-2128,共4页Clinical Focus

基　　金：卫生部临床重点项目(2007-353);中山大学5010项目(2007019)

摘　　要：目的调查广州市院前死亡患者流行病学情况,探讨院前死亡病例特点。方法从广州市急救医疗指挥中心系统数据库中导出2008年度全部死亡数据进行统计分析。结果院前非心脏性猝死与院前心脏性猝死患者均以白云区最多,其次是海珠区、其他区。院前非心脏性猝死组调度时间、到达时间、院前急救总时间均少于院前心脏性猝死组（P〈0.01）,分别为调度时间（2.69±1.24）min vs（2.85±1.29）min,到达时间（11.28±5.57）min vs（12.72±6.43）min,院前出车总时间（42.97±20.68）min vs（44.96±21.18）min,院前非心脏性猝死组的现场时间和急救半径多于院前心脏性猝死组（P〈0.05或〈0.01）,现场时间（18.99±7.96）min vs（17.53±7.52）min,急救半径（6.52±3.26）km vs（6.29±3.16）km。院前非心脏性猝死与院前心脏性猝死患者均以1~3月和8：00~10：00最多。在5 525例院前死亡中,其他类的死亡位居第一,循环系统（尤其是心脏性猝死）、呼吸系统、神经系统类的死亡分别位居第二、第四、第五,创伤类的死亡位居第三,〉70岁年龄段死亡最多。男性院前总死亡与院前心脏性猝死均明显高于女性。结论院前死亡患者的病情复杂,出车医师难以在短时间内明确诊断,加强这方面工作极为重要。心脏性猝死与创伤死亡分别以中老年、青壮年阶段为高发,并已成为院前死亡的主要原因。Objective To investigate the epidemiological information of patients in pre-hospital death for Guangzhou city and probe the patients＇ characteristics.Methods The data of patients in pre-hospital death in 2008 were exported from the computer database of Guangzhou Emergency Medical Rescue Command Center.Results The number of non-sudden cardiac death group and the number of sudden cardiac death group were at most in Baiyun district,followed by Haizhu district and other districts.The scheduling time,running time and total time of patients in pre-hospital non-sudden cardiac death group were less than those of pre-hospital sudden cardiac death group（P0.01）,and their scheduling time,running time and total time were（2.69±1.24） min vs（2.85±1.29） min,（11.28±5.57） min vs（12.72±6.43） min and（42.97±20.68） min vs（44.96±21.18） min,respectively.The rescue time and service radius of patients in pre-hospital non-sudden cardiac death group were more than those of the pre-hospital sudden cardiac death group（P0.05 or 0.01）,and their rescue time and service radius were（18.99±7.96） min vs（17.53±7.52） min,and（6.52±3.26） km vs（6.29±3.16） km,respectively.The number of pre-hospital non-sudden cardiac death group and the number of pre-hospital sudden cardiac death group were at most in January-March and 8：00-10：00 respectively.In 5 525 cases of pre-hospital death,the death number of the other group ranked at 1st,and the death number of circulatory system（especially in sudden cardiac death）,respiratory system and nervous system ranked at the 2nd,4th,5th respectively,the death number of trauma ranked at the 3rd,and the age grades of sudden cardiac death was at the most above 70 years old.The total death number and the pre-hospital sudden cardiac death number of male patients were more than those of female patients.Conclusion The visiting physician could not diagnose in short time because of patient complicated condition in pre-hospital death,so it was very important to improv

关 键 词：猝死 猝死 心脏 急救医疗服务 流行病学研究 

分 类 号：R541.4[医药卫生—心血管疾病]