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目的分析院外死亡的患者死亡原因,探讨如何有效减少院前死亡率,提高抢救成功率。方法选择我急救中心2006年1～12月院前死亡病例862例,采用回顾性分析方法,排列出死亡患者的死亡原因,年龄构成比例规律。结果院前死亡男性高于女性,死亡年龄组最高为50～59岁组,死亡疾病前四位依次为猝死、脑血管疾病、创伤、心血管疾病。结论提高全民的急救意识。真正做到CPR急救的社会化,结构的网络化,抢救的现场化,知识的普及化,这是现代急救治疗的发展趋势,也是院前心肺复苏成功的关键。
Objective To analyze the causes of death among patients who died from hospital and discuss how to effectively reduce the prehospital mortality rate and improve the success rate of rescue. Methods 862 cases of prehospital deaths from January to December 2006 in our emergency center were selected. Retrospective analysis was used to sort out the causes of death and the age proportion of death patients. Results The pre-hospital deaths of males were higher than those of females, with the highest in the death age group being 50-59 years old. The top four death diseases were sudden death, cerebrovascular disease, trauma and cardiovascular disease. Conclusion Improve the awareness of emergency treatment for all people. The socialization of CPR first aid, networked structure, on-the-spot rescue and the popularization of knowledge are the trends of modern first aid treatment and the key to the success of pre-hospital CPR.