【摘要】 目的了解深圳市急救病例死亡情况和原因,为进一步建设和完善急救网络提供客观依据。方法对照2002年至2004年全市72个急救网络医院院外、急诊科和急诊入院急救10020例死亡患者的医疗资料,用Foxpro6.0建立数据库,用SPSS11.0进行统计分析。结果三个年度电话呼救患者院外死亡率分别为2.37%、2.05%和2.35%,平均2.26%;经急诊院内救治患者死亡率分别为9.1074/万、7.4420/万和6.9804/万,平均7.8433/万;死亡年龄(39.96±23.51)岁、(39.78±25.28)岁和(39.88±22.85)岁,平均(39.87±23.88)岁;男、女比例为2.11∶1、2.12∶1和2.41∶1,平均2.22∶1;按照国际疾病分类法第十版(ICD-10)分类,损伤和循环系统疾患排在死因谱前列,交通事故构成比下降,其他损伤构成比增加。结论深圳市电话呼救患者院外死亡率较国内其他城市低,2002年至2004年经急诊院内救治患者死亡率有下降趋势,平均死亡年龄无明显改变,男性对各种致死危险因素的暴露大大高于女性,损伤和循环系统疾患是主要急诊死因。更多还原

【Abstract】 Objective To investigate the situation and causes of the emergency deceased cases in Shenzhen 2002~2004 so as to provide objective basis for improvement of the emergency network in Shenzhen City,Guangdong province.Methods A "questionnaire of emergency deceased cases" was designed and used to investigate the medical records,ambulance and rescue records.The questionnaires were filled in according to 10 020 expired files of pro-hospital,emergency department and emergency admit from 72 hospitals in the city’s emergency network.The data base were set up with Foxpro 6.0,added up and analyzed with SPSS 11.0.Results The pre-hospital mortality rates of the patients who called for ambulance were 2.37%in 2002,2.05% in 2003,and 2.35% in 2004,with an average rate of 2.26% for the 3 years as a whole.The mortality rates of the patients who received treatment in the emergency departments were 9.1074/10 000 in 2002,7.4420/10 000 in 2003,and 6.9804/10 000 in 2004,with an average value of 7.8433/10 000 for the 3 years as a whole.The average death ages were 39.96±23.51 in 2002,39.78±25.28 in 2003,and 39.88±22.85 in 2004,with an average age of 39.87±23.88 for the 3 years as a whole.The male to female ratios were 2.11∶1 in 2002,2.12∶1 in 2003,and 2.41∶1 in 2004,with an average ratio of 2.22∶1 for the 3 years as a whole.According to the ICD-10 categorization,injury and circulation system diseases occupied the front rows of the death causes table,and the constituent ratio of traffic accident decreased and that of the other impairments increased simultaneously 2002~2004.Conclusion The pre-hospital mortality rate of the patients who called for ambulance in Shenzhen was lower than those in other cities in China.The hospitalization mortality rate presents a trend to decrease 2002~2004,but the average death age remains stable.The males experience much more exposure to lethal risk factors than the females.Injury and circulation system diseases are the main emergency death causes.更多还原