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目的:分析急诊死亡病例死因构成特点,明确疾病防治重点;方法:采用回顾性统计分析方法,分析2004年10月1日-2008年9月30日内全部急诊死亡病例;结果:4年间急诊死亡共293例,占同期抢救人数的3.5%。不明原因猝死145例(49.5%),创伤41例(14.0%),慢性消耗性疾病及多器官功能衰竭34例(11.6%),急性心肌梗死18例(6.1%),脑血管意外16例(5.5%),肿瘤晚期15例(5.1%),各种代谢紊乱10例(3.4%),消化道出血5例(1.7%),中毒4例(1.4%),其他5例(1.7%)。结论:死亡病例中猝死占第一位,创伤死亡占第二位。加强心脑血管疾病防治十分必要,安全教育需要加强。
Objective: To analyze the characteristics of the cause of death in emergency cases and to clarify the focus of disease control. Methods: A retrospective statistical analysis was conducted to analyze all emergency deaths from October 1, 2004 to September 30, 2008. Results: 293 cases, accounting for 3.5% of the same period rescue. Sudden death in 145 cases (49.5%), trauma in 41 cases (14.0%), chronic wasting diseases and multiple organ failure in 34 cases (11.6%), acute myocardial infarction in 18 cases (6.1%), cerebrovascular accident in 16 cases 5.5%), 15 cases (5.1%) of advanced tumors, 10 cases of various metabolic disorders (3.4%), 5 cases of gastrointestinal bleeding (1.7%), 4 cases of poisoning (1.4%) and the other 5 cases (1.7%). Conclusion: The first case of sudden death in deaths and the second in trauma death. To strengthen the prevention and treatment of cardiovascular and cerebrovascular diseases is necessary, safety education needs to be strengthened.