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3066例，男1965例，女1101例，年龄3个月〜89岁，平均54.2岁。其中，各种车祸意外伤1315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3066例患者院前护理资料进行分类总结。结果：本组3066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1704例（55.6%）,吸氧2466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Theimportanceofpre-hospitalemergencycareworkZhangXiaoxia,ShiGaixiaEmergencyDepartmentofBaogangHospital,InnerMongolia014010AbstractObjective：Toinvestigatetheeffectofpre-hospitalemergencycareworkinhospitalemergency.Methods:3066patientswithpre-hospitalemergencyfromFebruary2013toJanuary2014wereselected・1965casesweremale,1101caseswerefemale・Theagewas3monthsto89yearsold.Theaverageagewas54.2yearsold.Specificsituations：1315caseswerevariouscaraccidentinjury,302caseswerecardiovasculardisease,412caseswerecerebralvasculardisease,76caseswerechildrenwithfebrileconvulsions,133caseswererespiratorysystemdiseases,152caseswereabdominalpainanddigestivesystemdiseases,49caseswerepregnantwomen,255caseswereallkindsofpoisoning,and372caseswereother.Thedataof3066patientswithpre-hospitalcareweresummaried.ResuIts：In3066patients,145cases(4.7%)werecardiopu1monaryresuscitation,50cases(1.67%)weretrachealintubation,170cases(5.5%)weresputumsuetion，255cases(8.3%)wereECGmonitoring,599cases(19.5%)wereECG,1704cases(55.6%)werevenoustransfusionmedicine,2466cases(80.4%)wereoxygen.Afterpre-hospitalnursing,916cases(29・9%)werebacktothehospitalforambulatorytreatment,626cases(53%)werebacktothehospitalforhospitalization,286cases(9.3%)wereaskedforatransfertoanotherhospitalfortreatment，24cases(0.8%)wenthome,184cases(6%)diedbeforetheambulance,30cases(0.9%)failedintherescuenursing.Conclusion：Pre-hospitalemergencycareisanimportantpartoftreatmentpatients,canenhancetheawarenessofpre-hospitalcareofnursingstaff,anditcanbeverygoodtosavelivesandavoidunnecessarymedicaldisputes.KeywordsPre-hospitalemergencycare；Emergencynursing；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3066例，总结和分析如下。