2002—2011年731例急诊死亡病例流行病学分析

目的了解急诊死亡病例的流行病学特点,为提高急诊危重病例抢救成功率,制订预防措施提供依据。方法回顾性分析2002年1月—2011年12月731例急诊死亡病例,收集包括姓名、性别、年龄、既往史、初诊及最后诊断、院前及急诊科抢救情况、最后死因等资料。结果 731例急诊死亡病例中,男520例,女性211,男女比2.46:1;20～39岁年龄段和60～79岁年龄段是急诊死亡的高峰年龄段,分别死亡252例和232例,占34.47%和31.74%;急诊患者前5位死因分别为心血管疾病、脑血管疾病、创伤、恶性肿瘤及呼吸系统疾病。结论相关部门必须结合当地实际、加强宣传教育、提高急诊救治水平和完善急救网络,以减少急诊死亡率。

Epidemiological analysis of 731 death cases in emergence department in 2002-2011

Objective To understand the epidemiologic features of emergency death and to provide the basis for developing preventive measures to improve the success of rescuing critically ill cases. Methods The clinical data of 731 death cases in the department of emergency were analyzed retrospectively, which included name, gender, age, past medical history, ini- tial and final diagnosis, management before admission and in emergency room, and final causes of death. Results Among the 731 cases ,520 were male and 211 female （ male to female ratio, 2.46 ： 1 ）. The peak age of death ranged from 20 to 39 years and from 60 to 79 years. 252 cases died in age from 20 to 39 years （34.47%） and 232 cases from 60 to 79 years （31.74%）. The five leading causes of emergency death were cardiovascular disease, cerebrovascular disease, trauma, cancer and respiratory disease, Conclusions It is recommended that on the basis of local practice, the relevant depart- ments should strengthen education, improve emergency management and emergency network to reduce emergency death.