杭州市院前急救空诊分析

Analysis on Pre-hospital Emergency Futile Visits in Hangzhou

目的:分析院前急救空诊病例的特征,探讨相关措施,提高院前急救效率。方法:以杭州市急救中心2009年的急救档案数据为基础,进行统计分析。结果:该中心2009年院前急救空诊率为14.6%,以急腹症求助的空诊率为最高,占52.70%,其次为车祸。结论:院前急救的空诊率高,对院前急救资源的合理利用及部分急救病人的生命产生很大影响,应采取加大宣传教育、电话医学指导、完善急救网络等综合措施减少空诊率。

Objective：By analyzing characteristics of the cases of pre-hospital emergency futile visits patients.Discussed the relevant measures,to increase the efficiency of pre-hospital first aid.Methods： On the basis of Hangzhou First Aid Emergency Center 2009 database files,combined with physical truth of our department itself,the paper analyzed the causes and propose appropriate measures.Result： The pre-hospital emergency futile visits rate of our centre in 2009 was 14.6%.Meanwhile,the rate of abdomen disease was the highest,accounting for 52.70%,followed by the car accident.Conclusion： The rate of pre-hospital emergency futile visits is high.It affects first aid rational use of resources and part of the lives of emergency patients.In order to reduce futile visits rate,we should take comprehensive measures,such as increasing publicity and education,telephone medical advice,improving the emergency network and so on.