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目的:统计广州市中心城区医院2016年1-6月份院前急救患者的流行病学情况,探讨该院院前急救的病例特点。方法:将2016年1-6月份院前急救记录本中数据导出进行统计分析。结果:在973次出车中以8:00-12:00最多(256次,占26.32%),最少为2:00-4:00(31次,占3.19%),到达现场时间最长为16:00-18:00之间,为(12.37±5.43)分钟,最短为00:00-02:00之间,为(7.280-02:)分钟。该院出车区域以越秀区最多为466次,其次为海珠区、荔湾区,到达现场用时最短为越秀区8.86为海珠区、分钟,最长为海珠区12.62为海珠区荔分钟。院前急救的973例患者,神经系统病人最多。除酒精中毒及妇产科以15-50岁年龄段最多外,其他系统疾病均以>70岁老年人为主。死亡62例,死因前3位的是其他(死因不详)24人(38.71%),循环系统急症16人(25.81%),神经系统急症8人(12.91%)。结论 :根据交通情况而不是单纯的直线距离调度车辆,能更好的缩短出车时间。加强心肺复苏普及推广AED使用对降低心源性猝死有重要意义。
OBJECTIVE: To analyze the epidemiological status of prehospital emergency patients from January to June in 2016 in downtown Guangzhou Central Hospital, and discuss the characteristics of prehospital first aid. Methods: The data of January-June 2016 pre-hospital emergency records were exported for statistical analysis. Results: At 9: 00 departure, the maximum time was 8: 00-12: 00 (256 times, accounting for 26.32%), at least 2: 00-4: 00 (31 times, 3.19% Between 16: 00-18: 00, it was (12.37 ± 5.43) minutes with the shortest being between 00: 00-02: 00 and (7.280-02 :) minutes. The hospital out of the area to Yuexiu District up to 466 times, followed by Haizhu District, Liwan District, arrived at the scene with the shortest for the 8.86 Haixiu District Yuexiu District, minutes, the longest Haizhu District Haizhu District 12.62 minutes. 973 cases of pre-hospital first aid, the most nervous system patients. Except for alcoholism and obstetrics and gynecology, which were the most common in the 15-50 age group, other systemic diseases were mainly in the elderly> 70 years. Of the 62 deaths, the other three were death causes (24 deaths unknown) (38.71%), 16 were circulatory emergency (25.81%), and 8 were nervous emergency (12.91%). Conclusion: Dispatching vehicles based on traffic conditions rather than purely straight-line distances can better reduce the time spent on trips. To promote the popularity of cardiopulmonary resuscitation AED use to reduce the incidence of sudden cardiac death is of great significance.