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目的总结本地区急诊死亡患者的流行病学特点,了解急诊危重病人死亡原因,探讨急诊危重病人急救的最佳模式。方法回顾性分析2007年1月-2011年12月记录完整的急诊死亡病案。结果急诊死亡患者男性明显多于女性(男女比例为1.266∶1);60岁以上年龄组死亡原因均以呼吸系统疾病为第一位(占60岁以上年龄组死亡患者的36.52%);脑血管疾病成为31岁~60岁三个年龄组中第1位的死亡原因(占此三个年龄组死亡患者的28.96%);创伤为11岁~30岁两个年龄组死亡第一位的原因(占此两个年龄组死亡患者的33.34%);不明原因猝死死亡患者男女比例为1.45∶1,且有年轻化的趋势(年龄小于60岁者占猝死总例数的36.74%);糖尿病患病率随年龄呈不断上升的趋势;结论呼吸系统疾病占本地区急诊死亡患者的最高百分比,应该采取积极有效的措施改善心、脑血管疾病、猝死发生的年轻化趋势,提高创伤病种的救治成功率。
OBJECTIVE: To summarize the epidemiological characteristics of emergency patients in the area, understand the causes of death in critically ill patients, and to explore the best mode of first aid for critically ill patients. Methods A retrospective analysis of January 2007 -2011 December record complete emergency death case. Results The number of emergency death patients was significantly higher than that of women (male to female ratio was 1.266:1). The causes of death in patients over 60 years old were all respiratory diseases (accounting for 36.52% of the total deaths in patients over the age of 60) The disease became the No. 1 cause of death in the three age groups 31 to 60 years (28.96% of all deaths in these three age groups); the first cause of death in both age groups 11 and 30 Accounting for 33.34% of the deaths in these two age groups). The proportion of male to female patients died of unexplained sudden death was 1.45:1, and there was a trend of younger age (36.74% of the total cases of sudden death less than 60 years old). Diabetes mellitus Rate was rising with age. CONCLUSIONS: Respiratory diseases account for the highest percentage of deaths from emergency departments in the region. Active and effective measures should be taken to improve the younger tendency of cardiac and cerebrovascular diseases and sudden death and improve the success of treatment of traumatic diseases rate.