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目的了解急诊科死亡患者的死因以及发病年龄,时间性、季节性等,为急诊医疗工作提供帮助。方法对2006年7月至2007年7月我院急诊科死亡患者共135例进行回顾性分析,分别对死者的性别、年龄、发病到死亡时间、死因、有无院前急救、是否尸检等方面进行统计。结果年龄<60岁中男性死亡率较女性高,其中20～29岁之间年轻人死亡率较其他年龄段高;年龄≥60岁后男女死亡比例相当。秋季死亡率较其他季节为高(31.11%)。除秋季以外伤死亡发生率最高外,其他季节均以猝死死亡占第一位。春季呼吸系统疾病死亡率亦较高。本文死亡高峰时间为15:00～18:00。死亡原因排序先后为猝死16.30%,循环系统疾病14.80%,肿瘤终末期12.59%。急诊以肿瘤患者停留时间最长,其次是呼吸系统疾病者。所有病例呼叫院前急救的尸检率仅2.96%。结论本院急诊科死亡患者有时间、季节特点,死因以猝死和循环系统疾病发生率较高,同时本地区居民急救意识高,但尸检率较低。
Objective To understand the cause of death and the age, timeliness and seasonality of patients who died in the emergency department to provide help for emergency medical work. Methods From July 2006 to July 2007, 135 cases of deaths from emergency department of our hospital were retrospectively analyzed. The factors such as gender, age, onset to death, cause of death, first aid before hospital, whether autopsy or not Statistics. Results The male mortality rate was lower than that of female at <60 years of age, among which young people aged 20-29 were higher than other age groups. Fall mortality was higher than in other seasons (31.11%). In addition to the highest incidence of injury deaths in autumn, the other seasons are the first death caused by sudden death. Spring respiratory disease mortality is also higher. The peak time of death in this article is 15: 00 ~ 18: 00. The causes of death were successively 16.30% of sudden death, 14.80% of circulatory diseases, and 12.59% of end-stage tumors. Emergency patients with cancer patients stay the longest, followed by respiratory diseases. In all cases, the rate of autopsy calls for pre-hospital emergency was 2.96%. Conclusions Our hospital emergency department patients have the characteristics of time, season, death due to sudden death and high incidence of circulatory diseases. At the same time, local residents have a high awareness of first aid, but the autopsy rate is low.