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目的 :寻找上海市突发事故的某些规律 ,就如何提高对突发事故的现场救护能力进行探讨。方法 :对 1987～ 1988年期间 ,由上海市医疗救护中心院前急救的 10 1次突发事故的资料 ,作流行病学分析和Foxplus处理。结果 :突发事故类型前三位构成比依次为交通事故2 2 7%、火灾 2 0 77%和房屋倒塌 12 87% ;人员伤亡主要集中在 2 1～ 50岁的年龄段 ;事故主要发生在上午 10 :0 0至下午 4 :0 0之间 ;对突发事故应急反应 3项指标均有延长趋势。 65%的反应间期超过 10min ;一半以上的伤员在 10min内得到现场诊治和转运。结论 :为提高对突发事故的现场救援能力 ,应向市民普及急救和安全知识 ,及时更新救护中心的通讯设备 ,增加救护站点 ,合理安排伤员的现场诊治和转运时间
OBJECTIVE: To find out some regularities of emergencies in Shanghai and to explore how to improve the on-the-spot rescue capabilities for emergencies. Methods: From 1987 to 1988, data of 101 emergency accidents in front of the hospital in Shanghai Medical Ambulance Center were collected for epidemiological analysis and Foxplus treatment. Results: The proportions of the top three types of emergencies were as follows: traffic accidents 22.7%, fires 2077% and houses collapsed 12 87%; casualties mainly concentrated in the age groups of 21 to 50 years; accidents mainly occurred in 10: 00 to 4: 00 in the morning. Three indicators of emergency response to the accident have been extended. 65% of the reaction interval of more than 10min; more than half of the wounded within 10min were on-site diagnosis and transport. Conclusion: In order to improve the on-site rescue capability for emergencies, it is necessary to popularize the knowledge of first aid and safety to the public, update the communication equipment of the ambulance center in time, increase the ambulance site and arrange the on-site diagnosis and transit time of the wounded