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目的通过分析北京999急救中心和河南宏力医院的航空医疗转运情况,了解我国航空医疗转运的情况和特点,旨在探讨我国医疗转运体系目前存在的问题及其未来发展趋势。方法采用计算机检索万方、中国知网(CNKI)、维普等数据库,查阅首都空地救援网(http://www.brccairrescue999.com)、宏力空中救护网(http://www.air120.cn/)中的救援案例,收集2014-10至2017-02北京999急救中心及河南宏力医院的航空医疗转运案例,对其年龄、性别、转运来源地、来源地省份、转运目的地、目的地城市及转运方式等资料进行描述分析。结果共收集了航空医疗转运33例。(1)33例航空转运中,男(20例)多于女(4例),未知性别9例;年龄28 d~74岁,以35~59岁为最多,共12例(36.4%),所有患者均安全到达目的地。(2)北京999急救中心转运患者的来源地共计10个省份,其中山东省和河北省最多,均为6例(23.1%),其次为内蒙古自治区4例(15.4%),而转运目的地为北京有23例(88.5%),涉及的医院共有12家。而河南宏力医院受运营范围所影响,转运来源地及目的地均为河南省。(3)北京999急救中心转运患者直接抵达医院附近的有16例(69.6%),使用急救车再次转运的有5例(21.7%),未知方式2例(8.7%)。而河南宏力医院的转运患者均为到达宏力医院停机坪。(4)航空转运患者共有疾病20种,其中颅脑损伤共8例(24.2%),占首位,其次为中毒4例(12.1%)。结论我国目前的航空医疗转运体系已初步形成,空中急救的概念也逐渐被熟知,需重点制订、完善转运规范与救援评估标准。
Objective To understand the situation and characteristics of China’s aviation medical trans-shipment by analyzing the situation of aviation medical transhipment in 999 emergency centers in Beijing and Henan Hongli Hospital, and to explore the existing problems and future development trend of medical trans-shipment system in our country. Methods The databases of Wanfang, CNKI and Vipu were searched by computer, and the Capital Rescue and Relief Network (http://www.brccairrescue999.com) and Grace Air Ambulance Network (http://www.air120.cn) were searched. /) To collect the cases of aviation medical transhipment from Beijing 999 Emergency Center and Henan Grace Hospital from 2014-10 to 2017-02, and collect the case information of their age, sex, origin of transhipment, province of origin, transshipment destination, destination Cities and transit methods such as description of the data analysis. Results A total of 33 cases of aviation medical transhipment were collected. There were 12 males (20 cases) more than female (4 cases) and 9 unknown males (aged 28-74 years) All patients reach their destination safely. (2) The source of patients transferred from Beijing 999 Emergency Center totaled 10 provinces, of which Shandong Province and Hebei Province accounted for the largest number of patients (6 cases, 23.1%), followed by Inner Mongolia Autonomous Region (4 cases, 15.4%), while the destinations were There were 23 cases (88.5%) in Beijing and 12 hospitals involved. Henan Hongli Hospital affected by the scope of operation, transhipment source and destination are in Henan Province. (3) Sixteen patients (69.6%) who transited directly from the 999 emergency center in Beijing to the hospital, five patients (21.7%) re-transported by ambulance and two patients (8.7%) did not know the way. And Hongli Hospital, Henan Province, the transport of patients arrived in Hong Ling Hospital apron. (4) There are 20 kinds of diseases in air transport patients, including 8 cases (24.2%) with head injury, followed by poisoning in 4 cases (12.1%). Conclusion The current system of aviation medical transport in our country has been initially formed. The concept of air emergency is gradually becoming well known. Therefore, it is necessary to lay stress on formulating and perfecting the standards of transportation and rescue and evaluation.