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目的:研究本区域院前急救的特点,以降低急救死亡率和伤残率,为进一步完善急救网络提供客观依据。方法:回顾性分析2006年11月至2008年11月的院前死亡病例。结果:本组男女比率为2.57:1;年龄从3～92岁;死亡率为2.03%;高峰死亡年龄段为80~89岁(15.85%);9:00~12:00和6:00~9:00时间段的死亡病例相对较多;院前急救死亡的常见病因是猝死(25.61%),、交通伤(20.73%)、溺水(8.54%)。结论:普及急救知识是降低死亡率的重要措施,在人群中普及以CPR为主的初级急救知识,由第一目击者立即开始CPR,缩短院前反应间期等,均可提高院前急救复苏成功率。应加强对猝死、心血管急症及交通伤等疾病的研究,以进一步提高院前急救水平。抓住白金10min和黄金1h的抢救时机是降低院前死亡率的关键。
Objective: To study the characteristics of prehospital emergency in this area to reduce the emergency mortality and disability rate, and provide an objective basis for further improvement of emergency network. Methods: A retrospective analysis of pre-hospital deaths from November 2006 to November 2008 was performed. Results: The ratio of male to female in this group was 2.57: 1; the age ranged from 3 to 92 years; the mortality rate was 2.03%; the peak age of death was 80-89 years old (15.85%); 9: 00-12: 00 and 6: There were relatively few deaths at 9:00. The common causes of death from first aid in hospital were sudden death (25.61%), traffic injuries (20.73%) and drowning (8.54%). Conclusion: The popularization of first aid knowledge is an important measure to reduce mortality. Popularizing primary first aid knowledge based on CPR in the population, immediately starting CPR by the first witness and shortening the prehospital reaction interval can all improve the pre-hospital emergency resuscitation Success rate. Research on sudden death, cardiovascular emergencies and traffic injuries should be strengthened so as to further enhance the level of pre-hospital emergency care. Seize the platinum 10min and gold 1h rescue timing is the key to reducing pre-hospital mortality.