摘要
目的探讨提高黄山山岳型景区院外猝死患者复苏的抢救速度与效率，为山岳型景区建立一个科学、合理的医疗急救体系提供理论依据。方法对1999年-2004年（A组）与2005年～2010年（B组）黄山景区内猝死患者的年龄、性别、基础疾病、呼救至医务人员到时达时间、呼救开始10min内有无CPR、救护员参与度、转归等因素进行统计、分析。结果A组猝死患者19例，发生率约为0．25／10万，10min内游客CPR5例、医生CPR1例，本组无非专业救护员CPR和辅助；B组猝死患者35例，发生率约为0．27／10万，10min内游客CPR9例、医生CPR4例、非专业救护员CPR5例，非专业救护员辅助救护26例，非专业救护员院外CPR成功1例。结论山岳型景区因医疗点布局少、地理环境复杂等原因，院外急救反应时间长，现有的医疗急救无法满足猝死等危重症的院外急救需要，而在景区内广泛培训非专业救护员能有效提高猝死等危重症院外急救的及时性、有效性和成功率。
Objective To provide theoretical basis in establishing a scientific and rational emergency medical service system in mountain tourism spot, and probe into improving speedy response to sudden death patients in pre-hospital stage in Huangsha scenic resorts. Methods Two groups, group A （from 1999 to 2004） and group B （from 2005 to 2010）, were created from the files of which the sudden death patients received pre-hospital emergency service. Analysis was conducted in their age, sex, original diseases, medical service responding time, whether CPR was introduced or not in the first ten minutes upon calling for help, satisfaction to the service, as well as prognosis of diseases, and etc. Results 19 cases of sudden death occurred in group A with incidence rate of 0.25/hundred thousand of which five CPRs were performed by tourists, one by medical staff in the first ten minutes, and no CPR or any other medical assistance performed by amateurish medical emergency personnel. On the other hand, 35 cases of sudden death occurred in group B with incidence rate of 0.27/hundred thousand of which nine CPRs were performed by tourists, four by medical professionals, and five CPRs and 26 other medical performances were conducted by the amateurish medical emergency personnel in the initial ten minutes. One of successful on-site CPR was brought out by the amateurish medical emergency personnel. Conclusion Because of few first-aid stations and complex terrain in the mountain tourism areas, emergency medical response becomes time-inefficient. It demonstrates that the existing emergency medical service system does not meet the demand of critical illnesses, such as sudden death. Yet, training amateurish medical emergency personnel in scenic area shall be a solution, providing all initial necessary treatments and enhancing the effectiveness and the rate of survival.
出处
《中国急救复苏与灾害医学杂志》
2012年第3期214-216,220,共4页
China Journal of Emergency Resuscitation and Disaster Medicine
基金
黄山市2010年度重点科技计划项目（2010ZN-12）
关键词
山岳型景区
非专业救护员
猝死
院外急救
Mountain scenic resort
amateurish medical emergency personnel
Sudden death patients
Emerzencv medical service （EMS）
