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目的探讨急诊死亡病例的年龄、性别、职业、根本死亡原因等流行病学分布特点,为提高急诊危重症患者救治能力和制定预防措施提供依据。方法通过全国死因登记报告信息系统,按照国际疾病ICD-10标准进行分类编码,对某综合医院急诊科2009年-2013年报告死因资料进行分析。结果 2763例急诊死亡病例中,老年组(60岁~79岁)死亡病例比例(43.83%)最高,青年组(≤44岁)死亡病例比例(3.47%)最低。男女死亡病例性别比为1.18:1。根本死因主要以循环系统疾病(49.84%)和恶性肿瘤(22.26%)为主。死亡病例生前主要职业为生产、运输设备操作人员及有关人员(38.18%)。结论结合急诊死亡病例流行病学特点,针对高危年龄段及相关职业人群,制定有效的循环系统疾病防治策略,降低急诊病死率。
Objective To explore the epidemiological characteristics of emergency death cases such as age, sex, occupation and basic causes of death, and to provide basis for improving the emergency treatment ability and making preventive measures. Methods According to the information system of registration of death cause in the country and classification coding according to ICD-10 of international diseases, the data of cause of death reported in the emergency department of a general hospital from 2009 to 2013 were analyzed. Results Among 2763 emergency cases, the death rate of the elderly group (60-79 years old) was the highest (43.83%), while that of the youth group (≤44 years old) was the lowest (3.47%). The sex ratio of males to females was 1.18: 1. The main cause of death was mainly circulatory system diseases (49.84%) and malignant tumors (22.26%). Prior to his death, the major occupations were the production and transportation equipment operators and related personnel (38.18%). Conclusions Based on the epidemiological characteristics of emergency death cases, effective strategies for prevention and treatment of circulatory diseases are developed to reduce the emergency mortality rate for high-risk age groups and related occupational groups.