9358例院前急救内科疾病谱分析  

Internal Disease Spectrum of 9358 Cases Receiving Pre-Hospital Care

作　　者：贾海娟[1] 彭金凤[1] 

机构地区：[1]绵阳市第三人民医院急诊科,四川绵阳621000

出　　处：《现代临床医学》2016年第5期369-370,共2页Journal of Modern Clinical Medicine

摘　　要：目的:对9 358例院前急救内科疾病谱相关信息进行分析,为有针对性地提高院前急救能力、合理配置急救资源、提高院前急救诊治质量提供科学依据。方法:对我院急诊科2011年1月至2015年1月接受的"120"指挥调度的群众呼救内科疾病的信息进行分析。结果:在受理的9 358例群众呼救内科疾病中,呼救病种的构成前三大类依次是脑出血、肺源性心脏病、梅尼埃病,4年的疾病谱相对稳定。急救过程中所需操作技能前2类为监护仪的使用和静脉穿刺术。急救对象以60岁以上年龄段患者居多,冬季发病率最高,急救高峰时段为5:00—8:59。结论:急诊科医护人员应重视脑出血、肺原性心脏病、梅尼埃病等疾病的急救处置流程和监护仪使用、静脉穿刺术操作技能的训练,合理进行急救资源的配置和调整急诊预案。Objective：To analyze the internal disease spectrum of 9 358 cases receiving pre-hospital care, and to provide scientific basis for the improvement of pre-hospital care and rational allocation of emergency resources.Methods：The information of patients with internal diseases admitted in our emergency department through “120” Emergency System was analyzed from January 2011 to January 2015.Results：Of 9 358 patients with internal diseases for help, the top three categories of disease were cerebral hemorrhage, pulmonary heart disease and Meniere’s disease; the disease spectrum was relative stable within the past 4 years.The use of monitors and the vein puncture were the top two manipulative skills during emergency treatment;the majority of the patients were 60-89 years old; the highest incidence occurred in winter, and the emergency peak time was 5：00-8：59. Conclusion：Medical staff in emergency department should pay attention to not only emergency disposal process of cerebral hemorrhage, pulmonary heart disease and Meniere’s disease but also the training of monitor manipulation and vein puncture.The rational allocation of emergency resources and adjustment of predetermined emergency plan are also needed.

关 键 词：前急救 疾病谱 分析 

分 类 号：R459.7[医药卫生—急诊医学]