2020-2022年上海奉贤大学城院前急救患者疾病谱分析  

Disease spectrum analysis of pre-hospital emergency patients in Shanghai Fengxian University Town from 2020 to 2022

作　　者：张进委 ZHANG Jinwei(Department of Emergency,Shanghai Medical Emergency Center,Shanghai 200233,China)

机构地区：[1]上海市医疗急救中心急救部,上海200233

出　　处：《中国校医》2024年第6期458-461,共4页Chinese Journal of School Doctor

摘　　要：目的描述2020-2022年上海奉贤大学城院前急救患者疾病谱,了解疾病发展趋势,加强院前急救系统建设。方法回顾性分析2020年1月-2022年12月本中心接诊的453例上海奉贤大学城患者的临床资料。统计2020-2022年上海奉贤大学城院前急救患者病种分类、急救诊断、院前急救时间。结果2020-2022年上海奉贤大学城院前急救患者病种分类以损伤性疾病(24.2%)、消化系统疾病(18.3%)、脑血管疾病(8.8%)、精神和行为异常(8.2%)、理化因素所致疾病(7.1%)为主。急救诊断主要为急性胃肠炎、脑供血不足、急性心肌缺血、癔症、足外伤、急性酒精中毒、输尿管结石、急性上呼吸道感染,其中急性胃肠炎占比最高,为15.7%;院前急救时间(从发病到医院的时间)<1 h、1~4.5 h、4.6~6 h及>6 h占比分别为12.20%、28.10%、37.26%、22.44%。结论校方医疗机构要重视院前急救工作,保障校园院前急救的迅速高效,针对这些占比较高的疾病,加强大学生急救知识普及,提高自救和互救能力。Objective To describe the disease spectrum of pre-hospital emergency patients in Shanghai Fengxian University Town from 2020 to 2022.Methods The clinical data of 453 patients from Fengxian University Town in Shanghai from January 2020 to December 2022 were analyzed retrospectively.The classification of diseases,first aid diagnosis and first aid time of these pre-hospital emergency patients were analyzed.Results From 2020 to 2022,pre-hospital emergency patients were mainly classified into those with injuries(24.2%),digestive system diseases(18.3%),cerebrovascular diseases(8.8%),mental and behavioral disorders(8.2%),and diseases caused by physical and chemical factors(7.1%).The first aid diagnoses were:acute gastroenteritis,cerebral insufficiency,acute myocardial ischemia,hysteria,foot trauma,acute alcoholism,ureteral calculi,and acute upper respiratory tract infection,among which acute gastroenteritis accounted for the highest proportion(15.7%).The proportions of pre-hospital emergency time(from onset to hospital)<1 h,1-4.5 h,4.6-6 h and>6 h were 12.20%,28.10%,37.26%,and 22.44%,respectively.Conclusion Medical educational institutions should pay attention to pre-hospital first aid work,ensure rapid and efficient pre-hospital first aid on campus,strengthen the popularization of first-aid knowledge and improve the ability of self-rescue and mutual rescue in view of these common diseases.

关 键 词：院前急救 疾病谱 时间分布 

分 类 号：R459[医药卫生—治疗学]