东莞市镇区创伤院前死亡病例分析

Analysis of Death Patients in Pre-hospital of Injury in Towns of Dongguan City

目的:探讨严重创伤院前死亡病例的临床特点和高危因素。方法:回顾性分析本院2000～2005年创伤院前死亡患者285例的临床资料。结果:本组创伤院前主要致死原因是交通伤(73.3%),其次是坠落伤(12.6%);现场或送医院已经死亡214例(75.1%),途中死亡13例(4.6%),急诊科死亡58例(20.4%);91.2%的患者是多发伤;急救反应时间为15.3min。结论:尽快健全急救医疗服务体系(EMSS),努力提高急救人员对严重创伤的救治水平,普及全民的急救意识,可最大限度地降低创伤院前死亡率。

Objective： To investigate the clinic characteristics and risk factors for death patients in pre-hospital of injury. Methods： Clinical data of 285 death patients in pre-hospital with severe injury admitted from 2000 to 2005 were analyzed retrospectively. Results： Traffic accidents was the most important cause for death （73.3%）, the next was failing injuries （12.6%）; 214 cases （75.1%） died in accident pot, 13 cases （4.6%） died in carry, 58 cases （20,4%） died in room rescue, 260 cases （91.2%）were from severe complicated injury. The time from being called to emergency ambulance arrived at the spot was 15.3 minuets. Conclusions： To establish and perfect emergency medical service system （EMSS） as soon as possible, to improve the level of the doctors and nurses in emergency medical care, and to popularize emergency knowledge and technology in the common people, could lower death rate in pre-hospital of injury with maximum limit.