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目的分析我院急诊科接治猝死患者的临床特点、发生特点和规律。提高急救水平,降低猝死率,减少医疗纠纷。方法回顾分析近5年来我院急救中心猝死患者207例,按年龄、性别、时间分布特征、转归及临床特点等进行统计分析。结果青壮年所占比例较大(25～65岁102例,心脏性猝死占首位,脑血管意外居第二位,此外慢性肺原性心脏病发生猝死者8例在本组病例中占很高的比例(11.59%)。男性死亡率明显高于女性。结论必须对青壮年男性以及存在冠心病、高血压等高危因素人群加强健康教育,及早发现和控制基础病变,医院要加强急诊科队伍的建设和医务人员综合抢救能力的培训,从而提高猝死患者的抢救成功率。
Objective To analyze the clinical characteristics, occurrence characteristics and regularity of emergency department in our hospital in treating sudden death. Improve the level of first aid, reduce the rate of sudden death and reduce medical disputes. Methods A retrospective analysis of 207 cases of sudden death in emergency centers in our hospital in the recent 5 years was conducted. Statistical analysis was made on the characteristics of age, gender, time distribution, clinical outcome and other characteristics. Results A large proportion of young adults (102 cases of 25 to 65 years old, sudden cardiac death in the first place, second place in cerebrovascular accident, in addition to sudden death in patients with chronic pulmonary heart disease in 8 cases accounted for high in this group of patients (11.59%) .Male mortality was significantly higher than that of women.Conclusion It is necessary to strengthen health education for young and middle-aged men as well as people with risk factors such as coronary heart disease and hypertension, to find and control basic diseases as soon as possible, and to strengthen the emergency department team Construction and medical personnel comprehensive ability to rescue training, thereby increasing the success rate of sudden death patients rescue.