【摘要】 目的分析院外急救中死亡者的死因,为提高院外急救质量提供依据。方法对北京急救中心2006年1月1日～12月31日出诊中死亡患者的死因进行回顾性分析,死因分类按照ICD-10标准进行。结果这段时间内北京急救中心出诊院外死亡2939例,循环系统疾病为首要死因,其中心源性猝死居全死因第一位(占46.89%)。呼救—车辆到达现场的平均反应时间为12.8min。结论心源性猝死为院外死亡病因之首,应采取综合措施提高院外猝死的复苏存活率。更多还原

【Abstract】 Objective To investigate the cause of out-of-hospital death,in order to improve the pre-hospital emergency medical service (EMS). Methods The clinical data of the deaths during pre-hospital care by Beijing Emergency Medical Center during the period of 1 January 2006 to 31 December 2 939 were analyzed retrospectively. The causes of death were identified according to the ICD-10 codes. Results 69 846 patients received pre-hospital care during this period of which 2 939 patients,1 550 males and 1 389 females with a male/female ratio of 1.12:1,died. 1 921 of the 2 939 patients (65.36%) died of circulation system diseases,406(13.81%) died of tumors,and 259(8.81%) died of respiratory system diseases. Circulation system disease was the first cause of death,among which sudden cardiac death was the leading cause (accounting for 46.89%). The mean interval between call to the EMS and arrival of EMS personnel was 12.8 min. Conclusion Sudden cardiac death is the leading cause of out-of-hospital death. Comprehensive measures should be taken to improve the resuscitation outcome for out-of-hospital sudden death.更多还原