【正文】
cases of death and 9 cases of improvement. one of five severe asthma patients and one case of myocardial infarction died before arriving at hospital because of refusing firstaid treatment. 7 of 10 cases severe cerebrovascular diseases and all of 8 cases of diabetic a patients with firstaid were saved and improved. With rapid firstaid, 3 cases of[作者單位]上海市醫(yī)療急救中心 上海 200233premature delivery, 1 case vaginal bleeding,6 of 8 cases of CO toxicosis,2 of 5 cases of severe fracture and 3 of 4 cases of brain trauma were saved.Conclusion: Correct judgement and prompt firstaid are two essential management of severe emergency patients【Key words】 critical care first aid prehospital rescue在日常的醫(yī)療急救工作中,常會遇見危急、危重的各科患者,如何提高急 危重病人院前救治的有效率、存活率、降低致殘率、死亡率,既是急診、危重病 領(lǐng)域所面臨的一項(xiàng)長期的醫(yī)學(xué)任務(wù),也是人們所關(guān)注的一個課題。本文通過59例急危重癥院前急救的病例分析,探索出更多更有效的救治急危重病人的措施與方法,搶救更多病人的生命造福人類。 一 般 資 料 選擇2004年6月?2006年6月期間,由上海市醫(yī)療急救中心經(jīng)現(xiàn)場救治的59例院前急救急危重癥病例,其中絕大多數(shù)是筆者親自參與救治的,并且對所有病例進(jìn)行跟蹤隨訪。 59例院前急救急危重癥病人中急性左心衰病人:男10例、女2例,年齡57?91歲。危重哮喘病人:男2例、女3例,年齡19?67歲。主動脈夾層動脈瘤:男1例,年齡68歲。心梗、心源性休克病人:男1例,年齡51歲。腦干腫瘤病人:男1例,年齡24歲。重癥