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目的分析本地区院前急救死亡病例的特点及规律,为提高院前急救水平提供参观依据。方法对本中心2008年1月1日～8月31日出诊急救745例院前死亡的病例进行回顾性分析和总结。结果院前急救病例死亡原因排序前五位依次为循环系统疾病、呼吸系统疾病、肿瘤、内分泌及代谢系统疾病、损伤及中毒。随着年龄增长病死率呈上升的趋势,以60岁以上为主,共600例,占80.54%,中青年患者的主要死因为损伤及中毒,男性多于女性。结论加强对易感人群的防范,针对性地加强院前急救能力,完善急救网络,最大限度降低院前死亡率。
Objective To analyze the characteristics and laws of prehospital emergency deaths in this area and provide references for improving the level of first aid before hospitalization. Methods A retrospective analysis and summary of 745 pre-hospital deaths were made in our hospital from January 1 to August 31, 2008. Results The top five causes of prehospital emergency cases were circulatory system diseases, respiratory diseases, tumors, endocrine and metabolic diseases, injuries and poisoning. With age, the mortality rate is on the rise, with more than 60 years of age, with a total of 600 cases, accounting for 80.54%. The main causes of death among middle-aged and young patients are injury and poisoning, with more males than females. Conclusion To strengthen the prevention of susceptible populations, targeted to strengthen the pre-hospital emergency capabilities, improve emergency network, minimize pre-hospital mortality.