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目的:探讨院前成年患者死亡原因变化的趋势。方法:对资料完整年龄>18岁院前死亡患者死亡原因进行统计和分析。结果:由外伤致死所占的比例呈相对下降趋势,依次为车祸59.50%,刀伤21.00%,高处坠落伤11.50%,电击伤4.70%,溺水3.40%;由非外伤引起死亡的比例呈相对上升趋势,依次为猝死57.03%,脑血管急症18.21%,心血管急症12.72%,呼吸系统急症6.56%,恶性肿瘤5.49%。结论:猝死和外伤仍是主要的院前死亡原因,普及急救知识和及时急救是降低院前病死率的重要措施。
Objective: To explore the trend of death of adult patients before hospital change. Methods: The cause of death of pre-hospitalized patients with complete data of age> 18 years were statistically analyzed. Results: The proportions of death caused by trauma showed a relative decreasing trend, which were 59.50% for car accident, 21.00% for knife injury, 11.50% for fall injury, 4.70% for electric injury and 3.40% for drowning. The proportion of death caused by non-trauma was relatively Followed by sudden death of 57.03%, 18.21% of cerebrovascular emergency, 12.72% of cardiovascular emergency, 6.56% of respiratory emergency and 5.49% of malignant tumor. Conclusion: Sudden death and trauma are still the main causes of prehospital death. To popularize first aid knowledge and prompt first aid is an important measure to reduce prehospital mortality.