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目的:查找院前急救各环节存在的问题,降低急救死亡率。方法:对照全市2002和2003年度1923例院前死亡资料填调查表,用Foxpro6.0建数据库,用SPSS11.0统计。结果:两个年度院前死亡率分别为2.37%和2.22%;院前死亡均以0∶00～8∶00最多(32.24%和31.53%);救护车院内反应时间平均3.40±2.27和2.09±4.68min;到达现场平均用时7.58±4.61和9.80±9.41min;往返医院用时平均44.19±44.11和38.19±27.58min;到达现场已死亡者占院前死亡总数的构成比为71.56%和78.97%;院前死因谱中交通事故由第一位(28.90%)下降为第三位(11.79%),心脑血管疾病由第二位(14.92%)上升为第一位(23.51%)。结论:深圳市经电话呼救患者院前死亡率较国内其他城市低;2003年度院内反应时间较2002年度明显缩短,但到达现场时间明显延长;院前急救死亡谱构成有改变。
Objectives: To find out the problems existing in all aspects of pre-hospital emergency and reduce the emergency mortality rate. Methods: According to the data of 1923 prehospital deaths in 2002 and 2003 in the city, the questionnaire was filled in, and the database was constructed with Foxpro6.0, with SPSS11.0 statistics. Results: The prenatal mortality rates were 2.37% and 2.22% respectively in two years. The pre-hospital deaths were both up to 32.24% and 31.53% from 0:00 to 8:00, while the average response time to ambulances was 3.40 ± 2.27 and 2.09 ± 4.68min. The average time spent on the scene was 7.58 ± 4.61 and 9.80 ± 9.41min respectively. The mean time to and from the hospital was 44.19 ± 44.11 and 38.19 ± 27.58min respectively. The proportions of those who died at the scene before hospitalization were 71.56% and 78.97% Traffic accidents in the pre-death spectrum decreased from the first (28.90%) to the third (11.79%) and the second (14.92%) to the first (23.51%). Conclusion: Prehospital mortality rate in Shenzhen was lower than other cities in China by phone call. The hospital reaction time in 2003 was significantly shorter than that in 2002, but the time to reach the site was significantly prolonged. The composition of prehospital emergency death spectrum changed.