论文部分内容阅读
目的了解深圳市急救医疗现状和水平,探讨各种危险因素与急救死亡的关系,检查发现工作中的差距与不足,为进一步提高全市急救医疗服务水平和政府制定急救卫生决策提供理论依据。方法调查研究2002年度全市急救死亡病例。结果调查急救死亡病历3151份,男性2278例、女性873例;创伤占总死亡率的64%;院前急救死亡1122例,其中60%救护车到达现场时病人已经死亡,平均院前急救反应时间为2.2min,平均到达现场时间为5.6min;院内急救死亡2029例,院内急救气管插管率为7.8%,手术率为9.2%。输血率为4.5%,平均在急诊科抢救时间为3.5h。结论深圳将按照国际化标准进一步建全完善“急救医疗服务体系”(EMSS),努力创建具有深圳特色的急救医疗新模式。
Objective To understand the status quo and the level of emergency medical treatment in Shenzhen, to explore the relationship between various risk factors and emergency death, to check the gaps and deficiencies in the work, and to provide theoretical basis for further improving the city’s emergency medical service level and making emergency medical decisions. Methods Investigate the 2002 emergency cases of death in the city. Results A total of 3151 emergency medical records were investigated, including 2278 males and 873 females. Trauma accounted for 64% of the total deaths. Prehospital emergency deaths occurred in 1122 patients, of which 60% were ambulances dead. The average prehospital emergency response time For 2.2min, the average time to reach the scene was 5.6min; 2,029 hospital emergency deaths, hospital emergency tracheal intubation rate was 7.8%, the operative rate was 9.2%. The blood transfusion rate was 4.5%, with an average of 3.5 hours in the emergency department. Conclusion Shenzhen will further establish and improve the “Emergency Medical Service System” (EMSS) in accordance with international standards and strive to create a new model of emergency medical service with Shenzhen characteristics.