摘要:目的 探讨中青年院前死亡的临床特点，为预防院前死亡提供临床依据。 方法 研究179例中青年院外死亡病例，回顾性分析其病因，临床特点，年龄、性别分布特点，季节分布特点，同时将本研究结果与相关文献报道进行比较。 结果 中青年院外创伤死亡原因主要为交通伤及坠落伤，猝死病因前两位是不明原因猝死及心血管疾病。非创伤组死亡高峰的年龄段为40～49岁，创伤组在19～39岁。有明显季节变化规律，4月最高，6、7月最低。 结论 需提高群众创伤急救意识，重视“白金十分钟”。部分不明原因猝死的患者可能是青壮年猝死综合征。应养成良好的生活习惯，在每年院前死亡的高发季节均要做好相应生理、心理的调整。

    关键词:中青年;院前死亡;临床特点;病因;季节变化

    Clinical analysis of pre-hospital death of adults.

    PENG Xiang，LIANG Zi-jing，HAN Jie-yun.

    (Emergency Department，The First Affiliated Hospital of Guangzhou Medical College，Guangzhou，510120，Guangdong，P.R.China)

    Abstract:Objective To investigate clinical features of pre-hospital death in adults. Methods 179cases of adult pre-hospital were retrospectively analyzed. Results The chief cause of death in pre-hospital trauma is traffic injury and injury by falling.The first two causes of sudden death is sudden death of unknown cause and cardiovascular disease.The peak age of death in no-trauma group is40～49years old.Which in trauma group is19～39years old.The situation was related to the seasons. Con-clusion To popularize the knowledge of emergency is the key measure for reducing mortality.In addition ......