郑州市急诊医疗服务体系的实践和探索

目的研究郑州市急诊医疗服务体系的功能和效果.方法回顾性分析2002年7月至2004年6月郑州市"120"指挥中心派急救车出诊情况和25家急救站的急诊救治情况.结果急诊出车逐渐增多,市内出车半径在5Km以内,平均8min到达现场.各种创伤是急诊出车的第一位原因.25家急救站中自主型模式一个,以内科为主的半自主型模式7个,通道型模式17个.严重多发伤可在自主型模式急救站进行确定性手术治疗,明显缩短了受伤到确定性手术的时间.结论急诊医疗服务体系包括院前急救、院内急诊抢救和重症监护治疗.布局合理的急救站为急诊病人提供了快捷的院前急救,迅速转运危重病人到自主型模式急救站可提高抢救成功率.

Practice and Investigate of Emergency Medical Service System in Zhengzhou

Object Investigate the function and effect of Emergency Medical Service System in Zhengzhou. Method The conditions of ambulance departure by " 120" guiding center and critic care of 25 emergency stations from July. 2002 to June, 2004 were analysis. Results The ambulance departure by " 120" for emergency care increased The ambulance arrive the scenes within 8 minutes which the distance from the emergency stations to the scenes is within 5 kilometers. Trauma is the first reason for the emergency call. There are 25 emergency stations. One is inclusive station, seven are half-inclusive stations and seventeen are simple tape stations. Definitive operation can be performed for the severe multi-trauma in the inclusive emergency station which decreases the waiting time for operation. Conclusion Emergency Medical Service System inclusive pro-hopsital first aid. emergency care in hospital and emergency critical care. Emergency stations distribute at proper areas, wich can provide sooner pro-hospital first aid. Transport the critical patient to the inclusive emergency station in a moment can increase successful resuscitation rate.