武汉大学中南医院120院前急救特征分析

Characteristics of 120 Pre -hospital Emergency in Zhongnan Hospital of Wuhan University

目的分析我院2011年10月～2012年9月的120急救出诊现状，探讨120急救的临床特征，提出针对性建议。方法以我院120出诊病例为依据，对院前急救患者的病因、年龄分布、出车时间、现场抢救成功率及死亡原因进行统计分析。结果我院120接诊患者以31～50岁居多，占44．2％（646／1462），各年龄组均男性多于女性；外伤和心脑血管意外位居前2位，分别占57．6％（842／1462）和38．4％（561／1462），两种疾病的病死率分别为5．0％（41／842）和2．3％（13／561）；8：00～12：00（36．4％）和16：00～20：00（45．4％）时段出诊较多，占全天出诊数的81．8％。结论识别院前急救的高危人群、高发疾病和高发时段，可有针对性地制定120急救培训的重点方向，合理配备资源，尽可能提高院前急救的成功率。

Objective To analyze 120 emergency status and clinical characteristics in Zhongnan Hospital of Wu- han University from Oct. 2011 to Sep. 2012,and make specific suggestions. Methods 120 pre - hospital emergency cases were collected. Etiology and age of patients,vehicle line haul hour, success rate of rescue as well as causes of death were analyzed statistically. Results The majority of pre - hospital patients were 30 - 50 years old （ 44.2% , 646/1462）. Male patients were more than female patients in all age groups. Trauma and cardiocerebral events were among the top 2, accounted for 57.6% （ 842/1462 ） and 38.4% （ 561/1462 ） respectively, the mortality rates of which were 5% （41/842） and 2.3% （ 13/561 ）. Most 120 first aid gathered at 8：00 - 12： 00（36.4% ） and 16：00 - 20：00 （45.4%） ,which accounted for 81.8% of all visits. Conclusion Identification of high risk group,high prevalence diseases and high risk period were important for establishing first aid training focus and allocating resources reasona- bly, so as to improve the success rate of pre -hospital emergency.