摘要
目的分析院外急救中死亡者的死因,为提高院外急救质量提供依据。方法对北京急救中心2006年1月1日~12月31日出诊中死亡患者的死因进行回顾性分析,死因分类按照ICD-10标准进行。结果这段时间内北京急救中心出诊院外死亡2939例,循环系统疾病为首要死因,其中心源性猝死居全死因第一位(占46.89%)。呼救—车辆到达现场的平均反应时间为12.8min。结论心源性猝死为院外死亡病因之首,应采取综合措施提高院外猝死的复苏存活率。
Objective To investigate the cause of out-of-hospital death, in order to improve the prehospital emergency medical service (EMS). Methods The clinical data of the deaths during pre-hospital care by Beijing Emergency Medical Center during the period of 1 January 2006 to 31 December 2 939 were analyzed retrospectively. The causes of death were identified according to the ICD-10 codes. Results 69 846 patients received pre-hospital care during this period of which 2 939 patients, 1 550 males and 1 389 females with a male/female ratio of 1.12:1, died. 1 921 of the 2 939 patients (65.36%) died of circulation system diseases, 406 (13.81%) died of tumors, and 259 (8.81% ) died of respiratory system diseases. Circulation system disease was the first cause of death, among which sudden cardiac death was the leading cause (accounting for 46.89%). The mean interval between call to the EMS and arrival of EMS personnel was 12.8 min. Cone I us i on Sudden cardiac death is the leading cause of out-of-hospital death. Comprehensive measures should be taken to improve the resuscitation outcome for out-of-hospital sudden death.
出处
《中国急救复苏与灾害医学杂志》
2008年第9期550-551,共2页
China Journal of Emergency Resuscitation and Disaster Medicine
关键词
急救医疗服务
死因
复苏
Emergency medical service
Death cause
Resuscitation