太仓市院外急救的临床特点分析

目的探讨太仓市院外急救的临床特点。方法回顾性分析2009年救治的2036例次院外急救患者的临床特点。结果2036例患者均经急救车送回医院。创伤是居首位疾病（67．63％），患者性别男女之比为1．74：1。青年占47．20％，中年占32．17％。多发伤为主要死亡原因；院外急救无明显季节性，10～12月份为急救高峰；7～9时，19～21时，是急救高峰时间段；平均急救反应时间8．17min；转运时间平均8．55min；即刻呼救组的病死率为1．73％，与延迟呼救组无显著差异（2．51％，P〉O．05）。未实施急救措施或急救措施不正确组的病死率为1．56％，与实施正确急救措施组无显著差异（2．05％，19〉0．05）。；现场或院外急救好转组的病死率为0．50％，显著低于无变化或恶化组（2．31％，P〈O．05）；专科医师救治者病死率为2．66％，显著高于急救医师救治者（1．32％，P〈0．05）。结论太仓市院外急救的重点疾病是创伤，重点人群是青中年。医师。

Clinical characteristics of pre-hospital emergency rescue in Taicang City,Jiangsu Province

Objective To investigate the clinical characteristics of pre-hospital emergency rescue in Taicang City, Jiangsu Province. Methods The clinical data of the 2036 cases of pre-hospital emergency rescue sent to the Taieang Hospital by ambulance 2009 were analyzed. Results All 2 036 cases were sent to the hospital by ambulance. The male/female ratio of the patients was 1.74：1. Young people accounted for 47.20%, and middle-aged people for 32.17%. 67.63% of the patients suffered from injuries. The main death cause was multiple injury. No seasonal variation in pre-hospital emergency rescue was seen. The peak period was October to December, and the peak time in a day were 7-9 am and 19-21 pro. The mean response time was 8.17 min. The mean transfer time was 8.55 min. The mortality rate of the group of immediate call for help was 1.73%, not significantly different that of the delayed call group （2.51%, P〉O.05）. The mortality of the group failing to receive correct emergency measures was 1.56%, not significantly different from that of the group receiving correct measures （2.05%, P〉0.05）. The mortality of those with good field effects was 0.50%, significantly lower than that of those without good field effects even with worsening conditions （2.31%, /50.05）. The mortality of those treated by specialist physicians was 2.66%, significantly higher than that of those treated by emergency physicians （1,32%, P〈0.05）. Conclusion injuries is the key disease of Taicang pre-hospital emergency resucue, focus groups are young and middle-aged people. Emergency physicians of the treatment effect is good in specialist physicians.