猝死患者危险因素的识别及应对策略

目的 分析我院急诊科接治猝死患者的临床特点、发生特点和规律.提高急救水平,降低猝死率,减少医疗纠纷.方法 回顾分析近5 年来我院急救中心猝死患者207 例,按年龄、性别、时间分布特征、转归及临床特点等进行统计分析.结果 青壮年所占比例较大(25~65 岁102 例,心脏性猝死占首位,脑血管意外居第二位,此外慢性肺原性心脏病发生猝死者8 例在本组病例中占很高的比例(11.59%).男性死亡率明显高于女性.结论 必须对青壮年男性以及存在冠心病、高血压等高危因素人群加强健康教育,及早发现和控制基础病变,医院要加强急诊科队伍的建设和医务人员综合抢救能力的培训,从而提高猝死患者的抢救成功率.

The strategy and the risk factors of sudden death

Objective To analyze the characteristics and disease constitute of sudden death and how to identify the high- risk groups early, in order to improve the level of first aid, reduce the rate of sudden death and medical disputes. Methods Is to analyse in retrospect the clinical data of pat ients with sudden deathin our hospital emergency center in the past 5 years. Results Is that the majority people of the patients with sud- den death is the elderly, the percent of the sudden cardiac death Was more than the rate of cerebral vascular ac- ci dent. and male mortality was significantly higher than that of the female. Conclusion Is that the sudden deathrate of the patients with heart- cerebrovascular disease iS the highest, w e should detect the basic patholog- ical chang es and control it as early as possible, besides, the health education should be st rengt hened, so that the sudden death eouldbe prevented.