摘要:目的: 通過分析地市級急救中心院前急救資料,探討ICD10疾病分類方法在院前急救中的實用性。 方法 :回顧性分析2007年1~12月份自貢市急救中心出診的全部有效急救患者的急診診斷以及隨訪診斷,使用ICD10編碼進行歸類,比較疾病性別構成比。 結果 :全年院前急救4109例,排5位的疾病分別為損傷、中毒和外因的某些其他后果(484%)、循環系統疾病(170%)、消化系統疾病(81%)、呼吸系統疾病(64%)、精神和行為障礙(52%),損傷、中毒和外因的某些其他后果、循環系統疾病以及消化系統疾病出診量男性多于女性(P＜005),耳和乳突疾病以及妊娠、分娩和產褥期疾病出診量女性多于男性(P＜005)。 結論 :采用ICD10標準對院前急救病譜分類有進一步探討的價值。Abstract: Objective: To investigate the value of ICD10 in prehospital care by the analysis of cases in Zigong Urgent Rescue Center. Methods : All cases of prehospital care during the year of 2007 were studied, whose emergency Diagnoses and followup diagnoses were recorded, and they were classified by international classification of diseases 10th revision (ICD10). The gender composition ratio of diseases was analyzed. Results : Four thousand one hundred and nine cases of prehospital care in 2007 were included. Topfive diseases were injury, poisoning and certain other consequences of external causes (484%), diseases of the circulatory system (170%), diseases of the digestive system (81%), diseases of the respiratory system (64%), and mental and behavioral disorders (52%) respectively. The amout of the male prehospital cases was more that of than the female’s in the diseases of injury, poisoning and certain other consequences of external causes, diseases of the circulatory system, diseases of the digestive system (P＜005); the amount of the female prehospital cases was more than that of the male’s in the diseases of the ear and mastoid process, pregnancy, childbirth and the puerperium (P＜005). Conclusion : Further research on the spectrum of diseases classified by ICD10 is valuable.