论文部分内容阅读
目的从突发事件中找出特点和趋势,从现场分流和处理的角度为提高应急反应能力和医疗救援水平提供依据。方法对北京急救中心2000-2005年参与救援的突发事件进行回顾性调查,将其中发生成批伤病(3人以上伤亡的事件即定为成批伤病)的1646份急救病历,进行统计分析。结果北京市发生成批伤病呈逐年上升趋势,伤亡人数也由2000年的641人增加到2005年的1201人。外伤事件有增加的趋势,CO中毒呈下降的趋势,6年中所有事件类型中,交通伤所占的比例最多。虽然伤亡人数逐年增加,但死亡所占比例却呈下降趋势(X~2=128．67,P＜0．01)。伤亡人中男性所占比例有上升趋势(X~2=30．11,P＜0．01)。伤亡人中18～40岁者占73．3%。在不同季节中,除冬季为CO中毒高发季节外,春夏秋三个季节中均为交通伤所占比例最高。平均反应时间(从呼叫受理至急救车到达事发现场的时间)由2000年的15．6 min缩短到2005年的12．2 min。结论北京市突发事件最显著的特点是逐年增多,平均反应时间的逐渐缩短,虽然受伤人数明显增加,但死亡人数却没有明显增加,导致死亡所占比例呈下降趋势。
Objective To find out the characteristics and trends from emergencies and provide the basis for improving emergency response capability and medical rescue from the perspective of on-site diversion and treatment. Methods A retrospective investigation was conducted on the emergencies involved in the rescue operation of Beijing Emergency Center from 2000 to 2005, and the statistics of 1646 emergency medical records in which batches of injuries (batches of 3 or more were regarded as batches of injuries) were counted analysis. Results The incidence of batch wounds in Beijing increased year by year with the number of casualties increasing from 641 in 2000 to 1201 in 2005. There was an increasing trend of traumatic events and CO poisoning showed a downward trend. Among all the event types in 6 years, traffic injuries accounted for the largest proportion. Although the number of casualties increased year by year, the proportion of deaths decreased (X ~ 2 = 128.67, P <0.01). The proportion of men with casualties has an increasing trend (X ~ 2 = 30.11, P <0.01). Casualties in 18 to 40 years of age accounted for 73.3%. In different seasons, in addition to the winter season for the high incidence of CO poisoning, spring and summer seasons are the highest proportion of traffic injuries. The average response time (from the time the call was accepted until the ambulance arrived at the scene of the accident) was reduced from 15.6 in 2000 to 12.2 in 2005. Conclusions The most prominent feature of emergencies in Beijing is that it is increasing year by year with the average response time being gradually shortened. Although the number of injuries has increased significantly, the number of deaths has not significantly increased, leading to a declining trend in the proportion of deaths.