院前急救1432例流行病学分析

目的:分析佛山市狮山镇院前急救的流行病学特点以提高本区域院前急救水平.方法:回顾性分析华立医院急诊科2009年度院前急救1432例的临床资料.结果:患者以男性和21~60岁为主,创伤占55%,其中车祸占59%.非创伤急救以心脑血管疾病为主.院前急救后64%患者急诊入院治疗,其中39%紧急入院手术治疗,7%)转入危重症监护室治疗.院前死亡67例,其中创伤导致死亡18例,非创伤49例,院前CPR成功11例.结论:以院前急救患者的流行病学为依据,院前急救的医护人员应持续进行院前急救的技能培训,尤其是创伤及心脑血管等疾病的培训,以提高院前急救水平.

Epidemiological Analysis 1432 Cases of Pre-hospital Emergency Care

Objective： To explore the epidemiological characteristics of prehospital emergency care （PHEC） at Shi-shan town of Foshan in order to improve PHEC. Methods： The clinical data of 1432 cases of PHEC at department of emergency at Huali hospital were retrospectively analyzed in 2009. Results： Most of the patients were men and 21 to 60 years old. 55% of PHEC were trauma, and 59% was caused by traffic accident. Cardio-cerebral vascular diseases were more often in no-trauma. After PHEC, 64% patients were hospitalized, 39% received emergency operation and 7% patients were admitted to intensive care unit. There were 67 cases died in PHEC, 18 cases were trauma, 11 cases were successfully resuscitated. Conclusions： PHEC should be based on the epidemiological characteristics. Medical workers of PHEC should be trained continuously to improve their abilities of PHEC, especially on trauma and cardio-eerebral vascular disease.