341例急诊抢救室死亡病例分析

Analysis of 341 Death Cases in Emergency Room

目的分析急诊抢救室死亡病例的疾病谱,探讨急诊抢救室资源利用情况,从而提高急诊科危重患者抢救成功率,减少医患纠纷。方法收集2007年1月-2008年12月2年期间急诊抢救室的所有死亡病例,共计341例,采用描述性流行病学方法,对死亡病例进行回顾性分析。结果猝死在抢救室死亡病例中所占比例最高为18%,其次为恶性肿瘤、急性脑血管病、急性呼吸道感染、心血管病等,这些是造成死亡的主要疾病。急性呼吸道感染患者在抢救室的时间明显高于其他疾病,猝死患者呼吸机使用比例和胸外按压比例最高,但在抢救室时间最短。结论急诊抢救室需要配置充足的物质和人力资源,同时需要合理利用这些资源,并加强医护人员的继续教育和抢救技能的培训,提高急救队伍的急救能力。

Objective To analyze the spectrum of disease of death cases in the emergency room and research the utilization of the resources of emergency room,so as to improve the rate of successful rescue and reduce the medical trouble disputes.Methods The descriptive epidemiological methods were used to retrospectively analyze all of the 341 death cases during the two years from January 2007 to December 2008.Results The highest proportion of death cases was sudden death which accounts for 18%.There were other diseases which also mainly caused the deaths and cost the resource,such as malignant tumor,cerebrovascular disease,acute respiratory infection and cardiovascular disease.The patients with an acute respiratory infection disease stayed longer in emergency room than any other diseases.The rate of using breathe machine and chest compression in patients with sudden death was highest.They left the emergency room in a short time.Conclusion Sufficient material resource and human resource should be given to emergency room and be reasonably used.Medical staff should receive a strengthened education and training of rescue skills to enhance their rescue abilities.