康定地区132例院前死亡患者分析

Kangding region 132 cases of analysis of pre-hospital deaths

目的了解康定地区院前死亡患者的情况,寻找降低院前病死率和致残率的办法。方法对2003年3月1日～2009年2月28日康定地区院前死亡132例的性别、年龄、死亡谱、季度分布、急救半径、出诊时间、病死率等项目进行统计分析。结果康定地区院前死亡132例中,男女比例为2.88∶1,平均年龄46.6岁;院前死亡谱前4位依次是创伤64例(48.48%)、死亡原因不明37例(28.03%)、心血管疾病11例(8.3%)、脑血管疾病9例(6.82%),出诊高峰时间主要分布在18∶00～9∶00时间段;出诊里程:8公里以内占55.30%,8公里以外占44.70%,全年12个月院前死亡人数无明显差异,病死率7.13%。结论本结果可为建立高原地区急诊医疗服务体系和提高高原地区院前急救质量与管理水平,降低院前病死率提供科学依据。

Objective To understand the Kangding region of pre-hospital deaths in the case, look for lower pre-hospital mortality and disability approach. Methods The March 1,2003 to February 28, 2009 Kangding region 132 cases of pre-hospital deaths by sex, age, death spectrum,quarterly distribution, first aid radius visits, mortality rate and other projects for statistical a- nalysis. Results Kangding region 132 cases of pre-hospital deaths, the male to female ratio was 2. 88 ： 1, the average age of 46. 6 years old;spectrum before pre-hospital deaths are followed by four trauma 64 cases（48.48% ）,37 cases of unknown cause of death（28. 03% ） ,heart 11 cases of vascular disease（8.3% ） ,9 cases of cerebrovascular disease （6. 82% ）, peak time for visits are mainly distributed in the time period 18 ： 00 - 9 ： 00;Visits mileage： 8 kilometers accounted for 55. 30%, accounting for 8 kilometers from 44. 7%, Before annual 12 month courtyards, casualty not obvious difference, mortality rate 7. 13 %. Conclusion The results can be set up at high altitude for the emergency medical service system and improve high altitude pre-hospital quality and management level,to reduce pre-hospital mortality rates to provide a scientific basis.