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目的:通过对重庆西南铝医院120出诊病例的回顾性研究,分析本辖区院前急救现状。方法:回顾性研究2014-12-2016-11重庆西南铝医院急诊科120出诊病例。结果:1 083人次出诊病例中冬季出诊次数最多,夏季次之,春秋两季相对较少;有效出诊917人次,有效率为84.67%;男528例,女389例,男女比例为1.357∶1;年龄10d~99岁,平均(53.94±14.87)岁,高峰区间在41~80岁年龄段,并且出现了双峰,41~50岁年龄段出诊人数最多;31例拒绝来院,其他886例患者均接受常规处置,56例院前死亡;在所有病例中外伤占比最高,车祸伤在单病种中病例最多;神经系统疾病次之,呼吸系统疾病、循环系统疾病及中毒也占有相当大的比例;在56例院前死亡病例中,120急救人员到场前仅有2例患者接受过现场心肺复苏救治,现场非急救人员心肺复苏率为3.57%。结论:院前急救存在一定的规律性,同时也存在严重的资源浪费现象,要想构建完备、高效、科学的急救体系就需要社会各界通力合作。
Objective: Through the retrospective study of 120 cases in Chongqing Southwestern Aluminum Hospital, the status quo of first aid before hospital in this area was analyzed. Methods: A retrospective study of 120 cases of emergency department of Chongqing Southwest Aluminum Hospital from 2014-12-2016-11. Results: The number of visits in winter was the highest in 1 083 visits, followed by summer, followed by relatively few in spring and autumn. The effective rate was 84.67% in 917 visits, including 528 males and 389 females, with a ratio of 1.357:1. The age ranged from 10 days to 99 years, with an average of (53.94 ± 14.87) years. The peak ranged from 41 to 80 years old, with a double peak. The number of visits was the highest in the 41 to 50 years old group. 31 patients refused to come to hospital and the other 886 patients 56 cases were hospitalized before death; the highest proportion of trauma occurred in all cases, the most cases of car accident injuries were in single diseases; followed by nervous system diseases, respiratory diseases, circulatory diseases and poisoning accounted for a considerable proportion ; Among the 56 pre-hospital deaths, only 120 patients received emergency resuscitation on the scene before the 120 emergency personnel arrived. The rate of cardiopulmonary resuscitation among non-emergency workers was 3.57%. Conclusion: Prehospital emergency exists some regularities, meanwhile, there is also a serious waste of resources. To build a complete, efficient and scientific first aid system requires concerted efforts from all walks of life.