院前急救的临床特点与对策

The Clinical Characteristics and Strategy of Prehospital Emergency Medical Care

目的:分析院前急救的时间、病种及院前处理情况,为进一步提高院前急救水平提供依据。方法:回顾性分析2004年6月～2005年5月间5016例出诊及院前急救病例的院前急救时间、呼叫病种构成及院前急救结果。结果:出诊记录共5121例,有效出车共5016例。其中男3326例,女1690例;院前急救时间集中在10～20min内(2048例占40.8%);呼叫原因主要为“车祸”(1284例占40.2%)及“昏厥”442例占24.5%);院前急救结果接回医院3677例(占73.3%),空车781例(占15.6%),现场处理356例(占4.0%)。结论:院前急救的主要病种是创伤,特别是交通伤,应缩短院前急救时间,加强院前创伤抢救的技术和完善急救设备,加强院前急救医护的全科医学知识的培训,从而提高院前急救抢救成功率。

Objective： To improve the successful rate of prehospital emergency medical care. Methods： The review analysis about 5 016 prehospital emergency medical care eases from June, 2004 to May, 2005, including the first aid time, called sickness and the first aid result. Result： There were total 5 121 prehospital emergency medical care record in our emergency medical treatment from June, 2004 to May, 2005, 5 016 examples were effective. Male was 3 326 cases, female was 1 690 cases. The prehospital emergency medical care time concentrates in the 10～20 rain （2 048 cases, 40.8%）. The called reason mainly was ＂the traffic accident＂ （1 284 cases, 40.2%） and ＂the asphyxia＂ （442 cases, 24.5%）. 3 677 cases （73.3%） were send to the hospital, 781 cases （15.6%）were missing, 356 cases （4.0%）were scene handled. Conclusions： The main sickness of prehospital emergency medical care is ＂trauma＂. We should reduce the prehospital emergency medical care time, strengthen medicine knowledge training and the level of the disease diagnoses about the prehospital emergency medical care and strengthen the rescue technical and the equipment of prehospital emergency medical care.