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目的:分析深圳市院前急救空诊病例的成因,探讨防范措施,提高院前急救效率和水平。方法:以深圳市急救中心调度系统2015年9月至2016年9月的急救派车数据库为基础,收集全市120网络医院的救护车空返病例进行统计分析。结果:我市近一年以来院前急救出诊记录共173852车次,其中空返54006车次,总空返率为31.06%。造成救护车空返的主要原因有患者拒绝来院、来电取消、车到人走、死亡不送、其它。结论:我市院前急救空返率高,很大程度上造成了急救资源的浪费,影响急救效率,应通过建立现代化急救网络体系、推动急救立法、加强公众的急救知识普及,努力提高急救人员的抢救水平等措施来降低空返率。
Objective: To analyze the causes of pre-hospital emergency cases in Shenzhen, discuss preventive measures and improve the efficiency and level of pre-hospital emergency care. Methods: Based on the emergency dispatch database of Shenzhen emergency center dispatch system from September 2015 to September 2016, the number of empty return cases of ambulances in 120 network hospitals in the city was collected for statistical analysis. Results: In the past year, the number of pre-hospital emergency visits recorded a total of 173,852 trips, of which 54,006 were returned empty trips with a total air return rate of 31.06%. The main cause of air ambulance caused by patients refusing to come to hospital, call cancel, the car to go, death do not send, the other. Conclusion: The high vacancy rate of first aid before hospital in our city caused a waste of first aid resources to a great extent and affected the efficiency of first aid. The first aid system should be set up, the legislation of first aid should be promoted, the popularization of first aid knowledge should be promoted, Rescue measures and other measures to reduce the rate of empty return.