【摘要】 目的 分析地市級急救中心院前急救中損傷患者臨床特點，科學(xué)地指導(dǎo)院前急救診斷處置及急診外科資源配置。 方法 回顧性分析2009年1-12月份自貢市急救中心出診的全部有效病例中損傷患者出診資料，分析其疾病譜、季節(jié)、月份、時刻分布特點。 結(jié)果 全年院前急救損傷患者共1 922例，排名前5位的分別為:頭部損傷，涉及身體多個部位的損傷，膝和小腿損傷，腹部、背、腰椎和骨盆損傷，髖和大腿損傷，所有分類構(gòu)成比男性均多于女性；損傷季節(jié)分布以冬季較多（P lt;0.05）；分布以1、11、12月份為多；時刻分布以凌晨0:00~6:00為出診最少時段。 結(jié)論 國際疾病分類（ICD-10）為規(guī)范院前急救疾病譜提供參考，根據(jù)損傷類疾病譜可確定急診外科工作及發(fā)展重心，依據(jù)季節(jié)、月份及時刻分布特點能指導(dǎo)急救資源合理配置。
【Abstract】 Objective To provide scientific guidance of assistances for patients sustaining injuries and of effective resource allocation of emergency surgery by analyzing the pre-hospital features of injuries in urgent rescue centers at the local or city level. Methods All cases of injuries in pre-hospital emergency care during the year of 2009 were studied. The spectrum of diseases, and the seasons, the months, and the time points of the diseases were analyzed. Results There were totally 1 922 patients of pre-hospital emergency care in the whole year. Based on the International Classification of Diseases 10th Revision (ICD-10), top five classifications were injuries to the head, injuries involving multiple body regions, injuries to the knee and lower leg, injuries to the abdomen, lower back, lumbar spine and pelvis, and injuries to the hip and thigh. For all kinds of injuries, the number of male patients was more than that of the female. The cases in winter were more than those in other seasons (P lt;0.05). The cases in January, November and December were more than those in other months. The cases between 0:00 am and 6:00 am were less than those at other time points. Conclusion ICD-10 could provide reference for standardizing the spectrum of diseases in pre-hospital care. The focus of emergency surgery may be guided by the spectrum of injuries. The features of the season, the month, and time point of diseases can offer practical help for resource allocation in pre-hospital care.
引用本文： 許子寅,徐平,曹靈紅,江從兵. 自貢市急救中心院前急救損傷病例分析. 華西醫(yī)學(xué), 2011, 26(2): 198-200. doi: 復(fù)制
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| 2. | Carolyn DC, Bing L, Hude Q. Comparison and validity of procedures coded with ICD-9-CM and ICD-10-CA/CCI[J]. Med Care, 2008, 46(6): 627-634. |
| 3. | 張茂. 嚴(yán)重創(chuàng)傷后臟器功能不全的防治[J]. 中華急診醫(yī)學(xué)雜志, 2007, 16(4): 447-448. |
| 4. | 孫志揚, 劉中民, 唐倫先, 等. 一體化的創(chuàng)傷急診模式在突發(fā)災(zāi)害事故急救中的優(yōu)越性[J]. 中華急診醫(yī)學(xué)雜志, 2005, 14(7): 549-550. |
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| 6. | 潘愛群, 馬福來, 張貴田. 1998～2006年唐山市院前急救疾病譜的變化原因分析和應(yīng)對措施探討[J]. 中國急救醫(yī)學(xué), 2007, 27(10): 952-953. |
| 7. | 周海龍, 于海文, 曹利杰. 上海嘉定南翔地區(qū)839例院前急救與轉(zhuǎn)運患者的疾病譜分析[J]. 中國急救醫(yī)學(xué), 2007, 27(12): 1143-1145. |
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| 9. | 王海珠. 承德市節(jié)假日院前疾病譜特點分析[J]. 河北醫(yī)學(xué), 2010, 16(4): 435-437. |
| 10. | 吳賓疆. 28 129例顱腦創(chuàng)傷院前急救[J]. 中華急診醫(yī)學(xué)雜志, 2005, 14(12): 1053. |
| 11. | 阮海林, 楊春旭, 丁愛國, 等. 6 646例院前急救與轉(zhuǎn)運患者的疾病譜研究[J]. 中國全科醫(yī)學(xué), 2005, 8(20): 1689-1691. |
| 12. | 曹靈紅, 徐平, 鄒永麗, 等. 院前急救4 109例ICD-10疾病譜分析[J]. 華西醫(yī)學(xué), 2009, 24(10): 2677-2679. |
- 1. Hughes C. ICD-9 update 2011: approaching the Change to ICD-10[J]. Fam Pract Manag, 2010, 17(5): 15-16.
- 2. Carolyn DC, Bing L, Hude Q. Comparison and validity of procedures coded with ICD-9-CM and ICD-10-CA/CCI[J]. Med Care, 2008, 46(6): 627-634.
- 3. 張茂. 嚴(yán)重創(chuàng)傷后臟器功能不全的防治[J]. 中華急診醫(yī)學(xué)雜志, 2007, 16(4): 447-448.
- 4. 孫志揚, 劉中民, 唐倫先, 等. 一體化的創(chuàng)傷急診模式在突發(fā)災(zāi)害事故急救中的優(yōu)越性[J]. 中華急診醫(yī)學(xué)雜志, 2005, 14(7): 549-550.
- 5. 董景五. 疾病和有關(guān)健康問題的國際統(tǒng)計分類(ICD-10)[M]. 2版. 北京: 人民衛(wèi)生出版社, 2008: 1-975.
- 6. 潘愛群, 馬福來, 張貴田. 1998～2006年唐山市院前急救疾病譜的變化原因分析和應(yīng)對措施探討[J]. 中國急救醫(yī)學(xué), 2007, 27(10): 952-953.
- 7. 周海龍, 于海文, 曹利杰. 上海嘉定南翔地區(qū)839例院前急救與轉(zhuǎn)運患者的疾病譜分析[J]. 中國急救醫(yī)學(xué), 2007, 27(12): 1143-1145.
- 8. 曹靈紅, 徐平, 鄒永麗, 等. 自貢市急救中心出診病例分析[J]. 川北醫(yī)學(xué)院學(xué)報, 2009, 24(6): 564-566.
- 9. 王海珠. 承德市節(jié)假日院前疾病譜特點分析[J]. 河北醫(yī)學(xué), 2010, 16(4): 435-437.
- 10. 吳賓疆. 28 129例顱腦創(chuàng)傷院前急救[J]. 中華急診醫(yī)學(xué)雜志, 2005, 14(12): 1053.
- 11. 阮海林, 楊春旭, 丁愛國, 等. 6 646例院前急救與轉(zhuǎn)運患者的疾病譜研究[J]. 中國全科醫(yī)學(xué), 2005, 8(20): 1689-1691.
- 12. 曹靈紅, 徐平, 鄒永麗, 等. 院前急救4 109例ICD-10疾病譜分析[J]. 華西醫(yī)學(xué), 2009, 24(10): 2677-2679.