摘要
目的:对我院近年急诊死亡的病例资料进行回顾性分析,探讨急诊死亡患者的特点,以提升急诊危重疾病的救治能力,提高抢救成功率,减少不良预后,为提升类似老龄化城市的健康水平提供参考建议。方法:对2016-01—2019-12期间在我院急诊死亡的588例患者资料进行分析,包括性别、年龄、死亡的原因、季节分布、到急诊室的抢救时间等。结果:男性(419例)死亡人数明显多于女性(169例),男女比例2.48∶1,46~65岁是急诊死亡的高发年龄。患者达到医院高峰时间段为6:00~10:00和16:00~20:00。到达急诊时诊断为到院前死亡的病例占61.90%。急诊死亡原因中,排名前3位的依次是心源性猝死、脑血管性疾病、各种严重创伤,其中创伤疾病死因以车祸和坠落伤为主,高龄患者的主要死亡原因是内科系统疾病。结论:人口老龄化的城市,急诊死亡的特点需要引起重视,加强院前急救、院内急危重病患者的救治,有助于提高抢救成功率。同时应注重慢性病的健康管理,给予高龄患者必要的监护,有助于减少不良预后的发生。
Objective: A retrospectively analysis of death cases in the emergency department was conducted to explore the characteristics of patients who died in the emergency department, in order to improve the ability of diagnosis and treatment of severe diseases in emergency, to increase the success rate of rescue, to reduce the adverse prognosis, and to provide a reference for improving the health of similar aging cities. Method: The data of 588 cases of emergency deaths in our hospital from January 2016 to December 2019 were analyzed, including gender, age, cause of death, arriving time to the emergency department, etc. Result: There were significantly more death subjects in men(419 cases) than women(169 cases), with a ratio of 2.48:1, 46-65 years old is the highest age of death in emergency department. There were two peak periods for patients to arrive in the hospital, from 6:00 to 10:00 in the morning and 16:00 to 20:00 in the evening. 61.90% of cases were diagnosed as dead before arriving at the emergency department. Among the causes of emergency death, the top three were sudden cardiac death, cerebrovascular disease, and various serious traumas. Traumatic diseases were mainly car accidents and falling injuries. The main causes of death in elderly patients are medical diseases. Conclusion: The characteristics of emergency deaths in cities with an aging population need attention. Strengthening the treatment of pre-hospital and critically ill patients in the hospital will improve the success rate of rescue. At the same time, we should pay attention to the health management of chronic diseases and give the elderly patients the necessary monitoring to help reduce the occurrence of adverse prognosis.
作者
倪伟
刘亚
金学敏
李斌
沈志平
NI Wei;LIU Ya;JIN Xuemin;LI Bin;SHEN Zhiping(Department of Emergency,Changshu No.2People’s Hospital,Suzhou,Jiangsu,215500,China)
出处
《临床急诊杂志》
CAS
2020年第8期667-670,共4页
Journal of Clinical Emergency
关键词
急诊
死亡
死亡原因
emergency department
death
cause of death
