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目的探讨泉州市区突发群体伤亡事件的流行病学特点及应急处置能力。方法回顾性分析1998~2005年泉州市区院前急救≥3人的463起突发群体伤亡事件资料,分析其流行病学特点和应急处理能力。结果泉州市区突发群体伤亡事件列前三位的依次是交通事故(310起,占66.95%)、中毒(60起,占12.96%)和群体斗殴(49起,占10.58%);事件高发月份为8月(52起,占11.23%)和11月(49起,占10.58%);事件发生高峰为20∶00~次日2∶00(174起,占37.58%);救治效果:显效209例(11.25%),有效1295例(69.75%),无变化279例(15.02%),恶化74例(3.98%)。结论加强突发群体伤亡事件的指挥调度、合理布局急救站点、完善预案并加强演练以及120系统内外联动的协作配合是降低突发群体伤亡事件病死率和伤残率的主要措施。
Objective To explore the epidemiological characteristics and emergency response capacity of sudden population casualties in Quanzhou. Methods A retrospective analysis was conducted on 463 sudden group casualty data of ≥3 pre-hospital emergency patients in Quanzhou from 1998 to 2005, and their epidemiological characteristics and emergency response capacity were analyzed. Results The top three casualty groups in Quanzhou were traffic accidents (310, accounting for 66.95%), poisoning (60, accounting for 12.96%) and group fighting (49, accounting for 10.58%); Months were August (52 cases, accounting for 11.23%) and November (49 cases, accounting for 10.58%); Incidents peaked from 20:00 to 2:00 the next day (174 cases, accounting for 37.58%); 209 cases (11.25%), effective 1295 cases (69.75%), no change in 279 cases (15.02%), worsening in 74 cases (3.98%). Conclusion The main measures to reduce the mortality and morbidity rate of sudden group casualties are to strengthen the command and dispatch of sudden group casualties, rationally lay the first aid site, improve the plan and strengthen the exercise and coordination and cooperation of 120 system internal and external linkage.