院前急救内科疾病谱的分析与对策

目的探讨并分析过去4年中我院院前急救内科疾病病种的分布状况,发病顺序,为院前急救人员培训更具针对性、物资配备更加合理提供参考依据。方法回顾性调查分析2005～2008年我院出诊登记的院前急救内科疾病相关资料,并从多个方面对其进行分析。结果 2005～2008年我院院前急救内科疾病谱4年中各内科疾病分布状况未发生明显改变,第一位以心血管系统急症为主,神经系统急症,呼吸系统急症,急性中毒分别排在第2、3、4位。心血管系统急症中,最常见的是冠心病;神经系统急症中,最常见的是脑动脉供血不足、脑血管意外;呼吸系统急症中,以慢性支气管炎急性发作、肺部感染为主;急性中毒中以酒精中毒、安眠药中毒最常见。结论院前内科性急救疾病目前仍以心血管疾病为主。有目的地加强对本地区院前内科性急救疾病谱的认识并进行针对性的培训,对院前医务工作者很有必要。

Analysis and countermeasure of the internal diseases spectrum of pre-hospital emergeriey care

Objective To evaluate and analyze the situation and order of internal diseases distribution in the pre-hospital emergency care during the past four years of our emergency department,and supply information in more special training first-aid staff,allocation of medical materials.Methods The registered data of house calls in internal diseases from the year 2005 to 2008 were collected with retrospective investigation.The results were analyzed in many aspects to find the distribution law.Results No apparent changes are found in the distribution of the internal diseases from the year 2005 to 2008 in the pre-hospital emergency care.Cardiovascular diseases were the main medical diseases in the pre-hospital emergency care.The diseases from nerve system,respiratory system,acute poison were arranged from 2、3、4 in turn respectively in the internal diseases distribution.Coronary heart diseases,hypertension,cerebroartery insufficiency,cerebrovascular accident,chronic bronchitis,lung infection,alcoholism and sedative poison and so on were the most common diseases in the pre-hospital emergency care.Conclusion Cardiovascular diseases are still the main causes in the pre-hospital emergency care of the internal disease.It is necessary for medical workers in emergency department to enhance to understand the internal diseases spectrum in local district and are trained continuously to improve their abilities in rescuing the patients.