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目的分析地市级急救中心院前急救中损伤患者临床特点,科学地指导院前急救诊断处置及急诊外科资源配置。方法回顾性分析2009年1 12月份自贡市急救中心出诊的全部有效病例中损伤患者出诊资料,分析其疾病谱、季节、月份、时刻分布特点。结果全年院前急救损伤患者共1 922例,排名前5位的分别为:头部损伤,涉及身体多个部位的损伤,膝和小腿损伤,腹部、背、腰椎和骨盆损伤,髋和大腿损伤,所有分类构成比男性均多于女性;损伤季节分布以冬季较多(P<0.05);分布以1、11、12月份为多;时刻分布以凌晨0:00～6:00为出诊最少时段。结论国际疾病分类(ICD-10)为规范院前急救疾病谱提供参考,根据损伤类疾病谱可确定急诊外科工作及发展重心,依据季节、月份及时刻分布特点能指导急救资源合理配置。
Objective To analyze the clinical characteristics of pre-hospital emergency patients in municipal emergency centers, to guide the pre-hospital emergency diagnosis and treatment and emergency surgical resources allocation. Methods A retrospective analysis was conducted on the data of all cases of injury from January to December 2009 in Zidong City Emergency Center and the distribution characteristics of disease, season, month and time were analyzed. Results A total of 1 922 pre-hospital emergency injuries were reported in the year. The top five were head injuries involving multiple parts of the body, injuries to the knee and calf, injuries to the abdomen, back, lumbar and pelvis, hips and thighs Injury, all categories constitute more than men than women; the distribution of injury season is more in winter (P <0.05); the distribution is more in January, November and December; the time distribution is the least from 0:00 to 6:00 Time period. Conclusions The International Classification of Diseases (ICD-10) provides a reference for regulating the spectrum of pre-hospital emergency medical conditions. According to the spectrum of injury-related diseases, the emergency surgical work and development center of gravity can be determined. According to the distribution characteristics of season, month and time, it can guide the rational allocation of emergency resources.