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对上海市医疗救护中心1991～1995年院前急救救治的467674例病例进行分析。本组男268300例（57．37％），女性199374例（42．63％），男女之比1．346：1。其中60岁以上占49．16％，危重病人占20．12％。院前急救病种前5位依次为：外伤、脑血管病、心脏病、急性腹痛、呼吸道急诊。院前死亡死因前5位（除恶性肿瘤外）依次为：心脏病、呼吸道急诊、自杀与中毒、脑血管病、创伤。本文还探讨了院前急救病种的月份布分特点。指出：院前急救培训应以心脏病、脑血管病、呼吸系统疾病、损伤和中毒的现场急救作为培训重点，救护车装备及药械配备也应适应这些病种的需要，并适应季节性流行疾病疾病谱变化。
467674 cases of prehospital emergency treatment from 1991 to 1995 in Shanghai Medical Ambulance Center were analyzed. The group of 268300 cases (57.37%), women 199374 cases (42.63%), male to female ratio of 1.346: 1. Among them, 49.16% were above 60 years old and 20.12% were critically ill patients. Prehospital emergency type of disease in the top 5 were: trauma, cerebrovascular disease, heart disease, acute abdominal pain, respiratory emergency. The top 5 death causes before hospital (except for malignant tumors) were: heart disease, respiratory emergency, suicide and poisoning, cerebrovascular disease and trauma. This article also explores the characteristics of the distribution of prehospital emergency wards in the month. Pointed out that pre-hospital emergency training should focus on on-site first aid for heart disease, cerebrovascular disease, respiratory disease, injury and poisoning. Ambulance equipment and equipment should also be adapted to the needs of these diseases and adapted to seasonal epidemics Disease spectrum changes.