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[目的]分析温州市院前急救死亡病例的特点和规律,为提高院前急救水平,降低院前急救死亡率提供参考依据。[方法]对温州市区2009年1月20日—2011年12月20日拨打“120”电话呼救的院前急救死亡病例进行回顾性分析。[结果]院前急救病例死亡率为1.58%,男女比例为2.73∶1,死亡率最高的年龄组为30～39岁组。导致院前死亡的前3位死因依次为猝死、创伤、心脑血管疾病。每天上午6～8时为院前死亡高发时段,夏、冬两季院前死亡病例明显多于春、秋两季。[结论]医务人员可根据院前死亡病例的特点,有针对性地加强培训,合理配置急救资源,并对高危人群进行宣教,以降低院前死亡发生率。
[Objective] To analyze the characteristics and laws of prehospital emergency deaths in Wenzhou City and provide reference for improving the pre-hospital emergency level and reducing the pre-hospital emergency mortality rate. [Methods] A retrospective analysis of the prehospital first aid death toll from “January 20, 2009” on January 20, 2009 - December 20, 2011 in Wenzhou City was conducted. [Results] The pre-hospital emergency mortality rate was 1.58%, the male-female ratio was 2.73:1, and the highest mortality rate was in the 30-39 age group. The three leading causes of pre-hospital death were sudden death, trauma and cardiovascular and cerebrovascular diseases. Every day from 6 to 8 am, there was a high incidence of pre-hospital deaths, with more pre-hospital deaths in summer and winter than in spring and autumn. [Conclusion] According to the characteristics of prehospital deaths, medical staffs can strengthen the training pertinently, allocate the emergency resources rationally, and carry on the missionary education to the high-risk groups so as to reduce the pre-hospital death rate.