摘要
目的分析我院急诊内科死亡患者的临床资料。方法回顾性分析2005年1月至2010年7月我院急诊内科死亡患者的临床资料。结果共收治患者13211例，死亡145例。冬季死亡比例相对较高（31．97％，39／122），就诊6h内死亡79例（54．5％）。145例中有27例死于猝死。肺部感染死亡与脑血管意外死亡各20例（13．8％）；13例患者死于冠心病（9．0％），加上心律失常等疾病共19例死于心血管系统疾病。15例（10．3％）死于肿瘤晚期；14例（9．7％）死于消化道出血。结论急诊内科患者死亡原因前三位分别为猝死、脑血管意外、肺部感染。在治疗上应加强疾病的防治，增加急诊内科与各科室之间的协作，加强急诊医师在危重症规范化治疗方面的培训。
Objective To summarize and analyse the clinical data of death cases in the department of emergency internal medicine. Methods The clinical data of patients presenting at the department of emergency internal medicine from January 2005 to July 2010 were analyzed retrospectively. Results Among 13 211 patients of department of emergency internal medicine, 145 died. More eases died in winter （ 32. 0%, 39/122 ） . More than half of deaths occurred within 6 hours after admission（ 54.5% ,79/145 ）. The top six death causes were sudden death, pulmonary infection, cerebrovaseular accident, advanced cancer, gastrointestinal bleeding, cardiovascular diseases and the occurrence rates were 18. 6%, 13. 8%, 13.8%, 10. 3%, 9. 7% and 9. 0% respectively. Conclusion The first three death causes in department of emergency internal medicine were sudden death, cerebrovascular accident, pulmonary infection. Prevention of these diseases, cooperation between emergency department and other departments and special training on standardized treatment of critically ill patients should be enhanced.
出处
《中国综合临床》
2011年第3期276-278,共3页
Clinical Medicine of China
关键词
急诊
死亡原因
猝死
Emergency
Death causes
Sudden death
