北京站社区危重症病例统计分析

Critical Ill Cases in Beijing Railway Station Community:A Statistic Analysis

目的 探讨北京站社区院前危重病例的发病特点及规律.方法 对2012年1-11月北京站社区（78例）和东城区北片38个老社区（82例）院前危重症病例的资料进行回顾分析,总结危重症病例发病类型、年龄、性别的特点.结果 北京站社区危重症病例以46~65岁者和男性居多,危重症中发病率较高的前5位是心律失常、高血压危象、创伤、急性冠脉综合征、急性中毒（P＜0.05）.老社区危重症病例以66~100岁者和女性居多,危重症中发病率较高的前5位是高血压危象、急性冠脉综合征、心律失常、创伤、休克（P＜0.05）.结论 北京站社区与其他老社区危重症病例发病特点上有显著区别,其年龄、性别和好发类型均有其特殊性.

Objective To investigate the clinical characteristics of pre - hospital critical ill cases and their onset regu- larity in communities. Methods The data of 78 pre - hospital critical cases in Beijing Railway Station Community and 87 cases in another old communities from January to November 2012 were analyzed retrospectively, to summarize the features of disease types, patients＇ ages and genders. Results The critical ill patients were mainly males, aged at 46 - 65 in Beijing Railway Sta- tion Community. The top 5 diseases with high prevalence were successively arrhythmia, hypertensive crisis, trauma, acute coro- nary syndrome, acute poisoning. In old communities, critical ill patients were mainly females, aged at 66 - 100. The top 5 dis- eases with high prevalence were successively hypertensive crisis, acute coronary syndrome, arrhythmia, trauma, shock. Con- clusion There is great difference in features of critical ill patients between Beijing Railway Station Community and old communi- ties, especially in age, gender and predominantly occurring types.