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华西医学 2011
自贡市急救中心院前急救损伤病例分析, PP. 198-200 Abstract: 【】 目的 分析地市级急救中心院前急救中损伤患者临床特点,科学地指导院前急救诊断处置及急诊外科资源配置。 方法 回顾性分析2009年1-12月份自贡市急救中心出诊的全部有效病例中损伤患者出诊资料,分析其疾病谱、季节、月份、时刻分布特点。 结果 全年院前急救损伤患者共1922例,排名前5位的分别为头部损伤,涉及身体多个部位的损伤,膝和小腿损伤,腹部、背、腰椎和骨盆损伤,髋和大腿损伤,所有分类构成比男性均多于女性;损伤季节分布以冬季较多(P<0.05);分布以1、11、12月份为多;时刻分布以凌晨000~600为出诊最少时段。 结论 国际疾病分类(ICD-10)为规范院前急救疾病谱提供参考,根据损伤类疾病谱可确定急诊外科工作及发展重心,依据季节、月份及时刻分布特点能指导急救资源合理配置。?【Abstract】 Objective Toprovidescientificguidanceofassistancesforpatientssustaininginjuriesandofeffectiveresourceallocationofemergencysurgerybyanalyzingthepre-hospitalfeaturesofinjuriesinurgentrescuecentersatthelocalorcitylevel. Methods Allcasesofinjuriesinpre-hospitalemergencycareduringtheyearof2009werestudied.Thespectrumofdiseases,andtheseasons,themonths,andthetimepointsofthediseaseswereanalyzed. Results Thereweretotally1922patientsofpre-hospitalemergencycareinthewholeyear.BasedontheInternationalClassificationofDiseases10thRevision(ICD-10),topfiveclassificationswereinjuriestothehead,injuriesinvolvingmultiplebodyregions,injuriestothekneeandlowerleg,injuriestotheabdomen,lowerback,lumbarspineandpelvis,andinjuriestothehipandthigh.Forallkindsofinjuries,thenumberofmalepatientswasmorethanthatofthefemale.Thecasesinwinterweremorethanthoseinotherseasons(P<0.05).ThecasesinJanuary,NovemberandDecemberweremorethanthoseinothermonths.Thecasesbetween000amand600amwerelessthanthoseatothertimepoints. Conclusion ICD-10couldprovidereferenceforstandardizingthespectrumofdiseasesinpre-hospitalcare.Thefocusofemergencysurgerymaybeguidedbythespectrumofinjuries.Thefeaturesoftheseason,themonth,andtimepointofdiseasescanofferpracticalhelpforresourceallocationinpre-hospitalcare.?
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