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院前急救对急性毒鼠强中毒的作用 被引量:4

Effect of emergency treatment of patients with severe acute tetramine poisoning before hospitalization
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摘要 目的探讨院前急救对急性毒鼠强中毒患者预后的影响。方法回顾性分析405例毒鼠强中毒患者的抢救及预后资料,并分为院前急救组与直接后送组,采用x^2检验,对两组患者的病死率和后遗症发生率进行比较。结果院前急救组院前病死率、总病死率均低于直接后送组(2.98%vs8.82%,5.97%vs15.19%),差异具有统计学意义(x^2=6.19,P<0.05;x^2=9.08,P<0.01);两组间院中病死率及继发病死率(2.49%vs5.39%,0.50%vs0.98%),差异无统计学意义(x^2=2.25,P>0.1;x^2=3.21,P>0.05);院前急救组后遗症发生率低于直接后送组(0.50%vs3.43%),差异具有统计学意义(x^2=4.53,P<0.05)。结论在群体性毒鼠强中毒发生时,积极的院前急救是降低病死率、后遗症发生率的有效措施,应大力提倡和发展院前急救系统。 Objective To explore the effects of prehospital emergency care on the outcome of acute tetramine poisoning patients. Method To review retrospectively the emergency and prognosis data of 405 tetram/ne-poisoning patients. The patints were divided into the prehospital emergency care and imd evacuation groups. The chi-square test was used to examine the mortality and sequelae morbidity between two groups. Results The prehospital mortality and overall mortality of the first group were lower than the latter one (2.98% 8.82%, 5.97% vs 15.19% ), and the differences were of statistical significance (χ^2 = 6.19, P 〈 0.05, χ^2 = 9.08, P 〈 0.01, respectively). However, there was no difference in the intrahosptal nortality or secondary mortality between two groups (2.49% vs 5.39%, 0.50% vs 0.98% ;χ^2 = 2.25, P 〉0.1, χ^2 = 3.21, P 〉 0.05, respectively) . Moreover, statistical difference was found in the sequela morbidity between the prehospital emergency care and imd transportation group (0.50% vs 3.43% ; χ^2 = 4.53, P 〈 0.05) . Conclusions The prehospital emergency care is an effective method of reducing the mortality and the sequela morbidity in patients with the tetramine poisoning. Prehospital emergency care system should be promoted and developed.
出处 《中华急诊医学杂志》 CAS CSCD 2007年第9期904-906,共3页 Chinese Journal of Emergency Medicine
关键词 院前急救 毒鼠强 中毒 预后 Emergency treatment before hospitalization Tetramine Poisoning Prognosis
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