昆明市突发事件紧急医疗救援资料：1487起分析

目的了解昆明市群体性突发事件的特点和原因，提高紧急医疗救援水平。方法对云南省急救中心2005年8月～2009年7月3例以上群体性突发事件的紧急医疗救援资料进行回顾性分析。结果期间昆明市发生群体性突发事件1487起，伤亡5943例，受伤5816例。其中交通事故占首位，690起（46．40％），伤病2745例（47．20％）；其次是治安事件611起（41．89％），伤病2266例（38．96％）；食物中毒43起（2．89％），伤病196例（3．37％）；工伤事故37起（2．49％），伤病128例（2．20％）；一氧化碳中毒27起（1．82％），伤病107例（1．84％）；酒精中毒19起（1．28％），伤病65例（1．12％）；火灾11起（0．74％），伤病人数49例（0．84％）。其他事件49起（3．30％），伤病260例（4．47％）。在5943例病例中，127例患者当场死亡，其他患者均得到及时有效的紧急医疗救援，途中病死率为0。结论昆明市群体性突发事件以交通事故、治安事件为主。充分的应急准备，及时高效的紧急医疗救援是提高群体性突发事件抢救成功率的关键。

Analysis: 1 487 massive emergency medical and rescue incidents

Objective To improve emergency medical services by fully understanding its uniqueness and causes of the unexpected massive incidents in Kunming. Methods All massive incidents in terms of three or more involved which the center provided medical emergency services between August 2005 and July 2009 were analyzed retrospectively. Results In a total of 1,478 massive incidents, it resulted in 5,943 casualties and 5,816 injured. Traffic accident was listed as number one of 690 （46.40%） cases with 2,745 （47.20%） injured; followed by 611 （41.89%） public security incidents with 2,266 （38.96%） injured; 43 （2.89%） cases of food poisoning with 196 （3.37%） injured; 37 （2.49%） cases of industrial injury with 128 （2.20%） injured; 27 （1.82%） cases of carbon monoxide poisoning with 107 （1.84%） injured; 19 （1.28%） cases of alcoholism with 65 （1.12%） requesting medical treatment; 11 （0.74%） cases of fire with 49 （0.84%） of injured; other different 49 cases （3.30%） with 260 （4.47%） injured. Among the 5,943 cases of injury, except 127 patients died on the spot, the all rest received prompt medical services, and there was even no single death case occurred in route to hospital. Conclusion The majority of massive incidents in Kunming are consisted of traffic accidents and public security incidents. Adequate emergency preparedness, timely and efficient emergency medical services have become critical to improve the surviving rate of massive incident.