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目的:讨论老年危重看病死亡患者在急诊抢救中的危险因素及其预防措施。方法:随机在中国医科大学附属第一医院中选择进行急诊抢救的老年危重病死亡患者60例,患者死亡时间在实施手术后48h以内,回顾性分析所有死亡患者,做相应回归分析,并明确患者与死亡相关的危险因素,在确定危险因素情况下制定相应预防措施防止此类事件的发生。结果:半数以上急诊患者为外伤前来抢救,采用COX回归分析可知,单因素中有心率、PH值、乳酸等为导致患者死亡,在三种因素中心率为可导致患者死亡的独立危险因素,除此之外,损伤严重程度在一定程度上决定患者抢救成功与否。结论:心率、p H值、乳酸等3个因素在一定程度上决定老年危重病患者的死亡,主要由于三者的改变主要是由于血液灌注不足、组织供氧缺乏,是抢救失败的结果。
OBJECTIVE: To discuss the risk factors and their preventive measures in the emergency rescue of critically ill elderly patients. Methods: Sixty patients were selected randomly from the First Affiliated Hospital of China Medical University for emergency treatment. The death time was retrospectively analyzed in all patients who died within 48 hours after operation. The patients were analyzed retrospectively, Risk factors associated with death, and in determining the risk factors to develop appropriate preventive measures to prevent such incidents. Results: More than half of the emergency patients came to the hospital for trauma. COX regression analysis showed that heart rate, PH value and lactic acid in the single factor led to the death of the patients. Among the three factors, the heart rate was an independent risk factor leading to the death of the patients. In addition, the severity of the injury to a certain extent, determine the success of the rescue patients. Conclusion: Heart rate, p H value, lactic acid and other three factors to a certain extent determine the death of critically ill elderly patients, mainly due to changes in the three mainly due to lack of blood perfusion, lack of tissue oxygen is the result of failed rescue.