【摘要】 目的:了解急诊抢救室死亡病例的疾病构成比和这些患者对急诊抢救室资源的利用情况。方法:2007年1月～2008年12月间我院急诊抢救室的死亡病例,共339例,记录患者年龄、性别、诊断、在抢救室治疗时间、呼吸机使用与否及使用时间、是否行胸外按压等情况。结果:构成比由高到低的疾病依次为猝死(18%)、恶性肿瘤(16.2%)、急性脑出血(14.5%)、急性呼吸道感染(13.6%)、急性脑梗死(8.8%)、心血管病(7.7%)、外伤(5.6%)、上消化道出血(4.1%)。患者在抢救室时间,急性呼吸道感染、急性脑梗死、急性脑出血明显长于外伤、上消化道出血、心血管病、猝死(P<0.05)。恶性肿瘤患者呼吸机使用比例和实施胸外按压比例均明显低于猝死、外伤、上消化道出血、心血管病患者(P<0.01)。结论:急诊抢救室死亡病例以猝死、恶性肿瘤、急性脑出血、急性呼吸道感染和急性脑梗死多见。急性呼吸道感染、急性脑血管病和恶性肿瘤患者在急诊抢救室滞留时间长。更多还原

【Abstract】 Objective:To investigate the proportion of causes of death cases in the resuscitation room of emergency department and the extent of emergency resources were used in these patients.Methods:All death cases (339 cases)were registered in the resuscitation room from January 2007 to December 2008.Data about patients consisted of age,sex,diagnosis,duration in the resuscitation room,duration of mechanical ventilation,whether undergoing chest compression or not.Results:The top eight death causes were sudden death,malignant tumor,acute intracranial hemorrhage,acute respiratory system infection,acute cerebral infarction,cardiovascular diseases,injury and upper digestive tract hemorrhage.The proportions were 18% ,16.2% ,14.5% ,13.6% ,8.8% ,7.7%,5.6%,4.1%,respectively.Patients with acute respiratory system infection (87.8 hours),acute cerebral infarction(71.3 hours),and acute intracranial hemorrhage(64.4 hours)spent significantly more hours than patients with injury(39.8 hours),upper digestive tract hemorrhage(33.3 hours),cardiovascular diseases(27.5 hours)and sudden death(1.7 hours)(P<0.05).Of all death cases,217 cases(64%)underwent mechanical ventilation.The rate of ventilation (27.3%) in patients with malignant tumors was significantly lower than those in patients with sudden death(100%),injury(94.7%),upper digestive tract hemorrhage(74.1%),cardiovascular diseases(65.4%) (P<0.01).The rate of chest compression (10.9%) in patients with malignant tumors was significantly lower too (P<0.01).Conclusion:The most common death causes in the resuscitation room were sudden death,malignant tumor,acute intracranial hemorrhage,acute respiratory system infection and acute cerebral infarction.The emergency resources were used mostly by patients with acute respiratory system infection,acute cerebral infarction,malignant tumor in all death cases.更多还原