上海市人口导入区域院外死亡患者分析

Causes of pre-hospital death in population importing areas in big cities

目的探讨上海市人口导入区域院外死亡患者各相关因素与特点，为进一步提高城市人口导入区域院外急救水平提供依据。方法对2001年～2008年上海市宝山区院外急救全部死亡病历进行查阅、汇总和统计。结果上海市宝山区院外死亡人数呈逐年增加趋势，但死亡人数在院外急救总人数中所占比人呈逐年下降趋势，创伤死亡患者在院外死亡患者中所占比例远高于中心城区．结论城市人口导入区域院外死亡患者在年龄分布、病种构成等方面与中心城区存在显著差别。

Objective To investigate the causes of pre-hospital death in population importing areas in big cities. Methods The clinical data of 6411 patients who died at the pre--hospital stage in Baoshan District, a population importing area of Shanghai, were analyzed. Results The number of pre-hospital deaths gradually increased annually, however, the percentage of prc-hospilal deaths among the pre-hospital emergency treatment tended to decreased gradually. The percentages of deaths caused by traumas, espeeially traffic traumas, were high among those aged 11-40. And the percentages of cardiac sudden death was high among those aged 〉50. Conclusion With a legion of empty nest old persons, factories, construction sites, and bad traffic situation, trauma and cardiovascular events constitute the main causes of pre-hospital death in the population importing areas in big cities.