突发公共卫生事件的紧急医疗救援

目的 探讨急诊医疗服务体系在突发公共卫生事件中的作用。方法 回顾性分析了郑州市2004年1月至2005年12月发生的21起突发事件和河南省3起重大突发事件紧急医疗救援情况。结果 郑州市120急救指挥中心接警突发事件后,迅速派出急救车和协调现场救护。21起突发事件共现场死亡182人,受伤或发病376人。经现场急救,转运到医院后因伤情危重死亡1人．其他伤员顺利康复。河南省3起重大突发事件共死亡226人．伤员97人被及时转运到医院救治,1例死于严重脑外伤,1例死于急性。肾衰和脓毒症,其他95例顺利康复。结论 急诊医疗服务体系的建设和完善,可全天候,全方位,高效率的应对突发事件。将损失降到最低限度。

Emergency medical rescue in public health emergency

Objective To study the role of emergency medical service system in public health emergency. Methods The management of 21 cases of public health emergency occurred in Zhengzhou from Jan, 2004 to Dec, 2005 and 3 cases of very significant public health emergency in Henan Provence were retrospectively analysis. Results The departure of the ambulance and coordination of emergency care were done by "120" guiding center after emergency call received .There were 376 person injured and 182 died in 21cases of public health emergency in Zhengzhou. Only 1 died of severe multi-trauma in the hospital. There were 226 died at the scenes of 3 cases very significant public health emergency in Henan Provence and 97 injured were sent to the hospitals. One patient died of severe head injury 4 days after operation and one died of acute renal failure and sepsis. The other 95 injured recovery uneventful. Conclusion The establish and refinement of emergency medical service system can deal with public health emergency in fulltime, any condition and high effectiveness for limited damage.