院前急救护理工作重要性

院前急救护理工作重要性 doi 10. 3969/j. issn. 1007-614x. 2014. 12.80 摘要目的探讨院前急救护理工作在医院急救中的作 用。方法2013年2月-2014年1月收治院前急救患者3 066 例，男1 965例，女1 101例，年龄3个月〜89岁，平均 54. 2岁。其中，各种车祸意外伤1 315例，心血管疾病302 例，脑血管疾病412例，小儿高热抽搐76例，呼吸系统疾 病133例，腹痛及消化系统疾病152例，孕产妇49例，各 种中毒255例，其他372例。对3 066例患者院前护理资料 进行分类总结。结果本组3 066例患者进行心肺复苏145 例（4.7）,气管插管50例（1.67）,吸痰170例（5.5）, 心电监护255例（8.3）,心电图599例（19.5）,静脉输 液用药1 704例（55.6）,吸氧2 466例（80.4）。经过院 前护理，回院门诊治疗916例（29. 9）,回院住院治疗1626 例（53. 0）,患者要求转到其他医院治疗286例（9.3）, 送回家中24例（0.8）,上急救车前死亡184例（6.0）, 经抢救护理无效30例（0.9）。结论院前急救是救治患者 的重要环节，增强护理人员的院前急救意识，能够很好地挽 救生命，同时避免不必要的医疗纠纷。 关键词院前急救急救护理重要性 The importance of pre-hospital emergency care work Zhang Xiaoxia, Shi Gaixia Emergency Department of Baogang Hospital, Inner Mongolia 014010 Abstract Objective To investigate the effect of pre-hospital emergency care work in hospital emergency. s 3066 patients with pre-hospital emergency from February 2013 to January 2014 were selected. 1965 cases were male , 1101 cases were female. The age was 3 months to 89 years old. The average age was 54. 2 years old. Specific situations 1315 cases were various car accident injury , 302 cases were cardiovascular disease , 412 cases were cerebral vascular disease, 76 cases were children with febrile convulsions ,133 cases were respiratory system diseases, 152 cases were abdominal pain and digestive system diseases, 49 cases were pregnant women, 255 cases were all kinds of poisoning , and 372 cases were other. The data of 3066 patients with pre-hospital care were summaried. Results In 3066 patients, 145 cases 4. 7 were cardiopulmonary resuscitation, 50 cases 1. 67 were tracheal intubation, 170 cases 5. 5 were sputum suction , 255 cases 8. 3 were ECG monitoring, 599 cases 19. 5 were ECG, 1704 cases 55.6 were venous transfusion medicine, 2466 cases 80. 4 were oxygen. After pre-hospital nursing, 916 cases 29.9 were back to the hospital for ambulatory treatment, 626 cases 53 were back to the hospital for hospitalization, 286 cases 9. 3 were asked for a transfer to another hospital for treatment, 24 cases 0. 8 went home, 184 cases 6 died before the ambulance, 30 cases 0.9 failed in the rescue nursing. Conclusion Pre-hospital emergency care is an important part of treatment patients, can enhance the awareness of pre-hospital care of nursing staff, and it can be very good to save lives and avoid unnecessary medical disputes. Key words Pre-hospital emergency care； Emergency nursing； Importance 院前急救是救治患者的重要环节，特别是近年来，由于 高血压、冠心病、外伤等急性病、突发病的发生率明显上升, 急救工作的重要性表现得甚为突出。护理工作在急救中发挥 了重要作用，俗话说“三分治疗、七分护理”，也说明了护 理在整个医疗中的重要地位，院前急救护理亦是如此。为探 讨院前急救护理工作在医院急救中的作用,2013年2月-2014 年1月收治院前急救患者3 066例，总结和分析如下。