某城区635例院前死亡病例分析和院前急救探讨  

The Death Case Analysis of 635 Cases of Pre-hospital Death and the Discussion of Pre-hospital First Aid

作　　者：王明飞 肖晓兰 

机构地区：[1]桂林市中西医结合医院,桂林市541004 [2]广西区肿瘤医院,南宁市530021

出　　处：《中国病案》2014年第6期33-35,共3页Chinese Medical Record

摘　　要：目的 分析院前死亡患者的死因，提高院前急救能力，降低院前死亡率。方法 回顾性对某院急诊科以及所辖社区医师填写的死亡医学证明书信息进行统计、分析。结果 某城区院前死亡病例635 例中，社区死亡病例505 例，占院前死亡病例的79.53%；男性394 例，占62.05%；女性241 例，占37.95%，男性多于女性；院前死亡高发年龄为70 岁～79 岁，占26.61%；前三位死因分别是心血管疾病（184 例，占28.98%）、脑血管疾病（121 例，占19.06%）、意外伤害（106 例，占16.69%）。结论 院前死亡病例以心脑血管疾病和意外伤害为多，应加强心脑血管疾病的防治、安全教育和急救工作者技能培训，降低院前死亡率。Objective To improve the emergency ability and reduce the death rate, we analyze the reasons of death for the patient＇s before they were in hospital. Methods We retrospectively analyzed the death certificate of medical filled out by the emergency doctor. Results There were 635 pre-hospital death cases in a district. Death cases of community was 505, accounting for 79.53%. The number of male cases was 394, accounting for 62.05%. The number of female cases was 241, accounting for 37.95%. There are more men than women. The age of high mortality rate was between 70 and 79 years old, accounting for 26.61%. The top three causes of death were cardiovascular diseases （184 cases, 28.98%）, cerebrovascular disease （121 cases, 19.06%）, unintentional injuries （106 cases, 16.69%）. Conclusion The most common pre-hospital death cases are cardiova scular diseases and unintentional injuries. It is important to cultivate the consciousness of prevention for the disease of heart head blood-vessel, Besides, we should also strengthen safety education and the public first aid skills training.

关 键 词：院前死亡 院前急救 院前死亡率 

分 类 号：R197.3[医药卫生—卫生事业管理]