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目的 了解就诊于急诊室的暴力事件发生的特点及规律。方法 采用统一标准、方法对凡在2000年1月1日至2002年12月31日期间首次就诊于某综合医院的急诊室的伤害(包括暴力)患者进行统一监测,了解其发生情况。结果 3年期间共监测11 472例受伤害者,其中29.0％为暴力致伤,男女性别比为3.8:1,暴力受伤者高发年龄组为15～44岁(77.1％);工人在各职业人群中占的比例最高;家中为自杀/伤的高发地点(42.2％);路上为他杀/伤的高发地点(44.7％);对受伤害者采取的院前救护方式以他人救护占首位(80.1％);开放性伤在暴力致伤性质方面占的比例最大(55.8％)。结论 急诊室暴力监测可为确定主要问题及其高危人群提供基础资料,因此应结合当地实际情况开展监测,为当地暴力预防措施的制定提供科学依据。
Objective To understand the characteristics and regularity of violence in emergency room. Methods Uniform standards were used to monitor the injury (including violence) patients who first visited the emergency room of a general hospital between January 1, 2000 and December 31, 2002 to find out the occurrence of the injuries. Results A total of 11 472 injured persons were monitored over a 3-year period, 29.0% of them were violently injured, with a sex ratio of 3.8: 1 for men and women and 15-44 (77.1%) in the high-risk age group. Among workers in various occupational groups (42.2%) were home; (4) hemorrhagic shock occurred on the road (44.7%); the pre-hospital rescue mode taken by the victim was the highest among others (80.1% ); Open wounds accounted for the largest proportion of violent wounds (55.8%). Conclusion The emergency room violence monitoring can provide the basic information for identifying the main problems and their high risk population. Therefore, monitoring should be conducted according to the local conditions so as to provide a scientific basis for the formulation of local violence prevention measures.