院前急救的疾病分类及死因构成研究

目的 通过探讨院前急救的疾病分类和死因构成,达到提高院前急救的整体医疗护理水平.方法 对2006年重庆医科大学附属第一医院急诊科院前急救的相关数据进行统计分析.结果 2 060例院前急救病种分类依次为:交通伤412例(20.00%);意外伤342例(16.60%);心血管系统疾病311例(15.09%);脑血管系统疾病282例(13.69%);呼吸系统疾病179例(8.69%);急性中毒145例(7.04%);内分泌及代谢疾病137例(6.65%);消化系统疾病134例(6.50%).院前死亡病例占前5位的疾病分别是心血管疾病、脑血管疾病、交通伤、意外伤、呼吸系统疾病.结论 不断强化医务人员的业务知识和应急能力培训,使院前急救程序化、规范化,是提高院前急救整体医疗护理水平的关键.

Investigation of classification of diseases in pre-hospital care and proportional mortality rate

Objective To investigation of classification of diseases in pre-hospital care and proportional mortal- ity rate,and so as to raise our medical care level entirely.Methods Statistical analysis was performed about the data of pre-hospital care in our department in 2006.Results Among 2060 cases of pre-bospital cared patients,the disea- ses in pre-hospital care were listed as follows:transportation injuries(412 cases,20.00%);accidental trauma(342 cases,16.60%);cardiovascular diseases(311 cases,15.09%);cerebral vascular diseases(282 cases,13.69%);re- spiratory system diseases (179 cases,8.69%);acute poisoning(145 cases,7.04%);endocrinic metabolic diseases (137 cases,6.65%);digestive diseases(134 cases,6.50%).The diseases with high mortality rate were cardiovas- cular diseases,cerebral vascular diseases,transportation injuries,accidental trauma,and respiratory system disea- ses,respectively.Conclusion To enhance the skill and strain capacity of the medical staff is a key to raise the pre- hospital care.