[目的]查找院前急救各环节存在的问题,降低急救死亡率和伤残率,为建设和完善急救网络提供客观依据。[方法]对照全市2002~2004年度67个急救网络医院经电话呼救院外死亡的病历,填写调查表,对相关数据进行描述性统计分析。[结果]3个年度全市院外救治患者数分别为47341、57488和72833人次,死亡率分别为2.37%、2.05%和2.35%;3年中交通事故在院外死因谱中由第1位下降到第3位,循环系统疾患由第3位上升到了第1位,中毒连续3年保持在第4位;3个年度院外死亡患者求救电话均以0:00~8:00最多,救护车1min内出动构成比分别为29.57%、43.05%和73.82%,5min内到达现场构成比分别为43.29%、25.75%和25.61%;到达现场已死亡者分别占院前死亡的71.56%、78.97%和87.43%。[结论]2002~2004年度深圳市院外急救人次呈增加之势,死亡率较国内一些城市为低,院外死因谱有所改变,1min内救护车出动构成比上升,5min内到达现场构成比下降,院外急救操作实施率提高。 [Objective] To find out the problems existed in the first aid before hospital, reduce the emergency mortality rate and disability rate, and provide an objective basis for building and improving the first aid network. [Methods] According to the medical records of 67 first-aid network hospitals in the city from 2002 to 2004 who died during hospitalization by telephone, fill in the questionnaire and conduct descriptive statistical analysis on the relevant data. [Results] The number of outpatients rescued in the three years was 47,341, 57,488 and 72,833, respectively, with the death rates of 2.37%, 2.05% and 2.35% respectively. In the three years, the number of traffic accidents dropped from No. 1 to No. 3, circulatory system disorders rose from No. 3 to No. 1, poisoning remained at No. 4 for three consecutive years; 3 annual outpatient death patients were on call 0: 00 ~ 8: 00 up, ambulances within 1min The proportions reached 29.57%, 43.05% and 73.82%, respectively, and reached 43.29%, 25.75% and 25.61% respectively within 5 minutes. Those who arrived at the scene accounted for 71.56%, 78.97% and 87.43% of pre-hospital deaths, respectively. [Conclusion] From 2002 to 2004, the number of first aid outpatient visits in Shenzhen increased. The death rate was lower than that of some cities in China. The cause of death spectrum was changed in 1 minute. The composition ratio of ambulances in 1 minute increased while the arrival ratio in 5 minutes decreased. Implementation rate of first aid operation outside the hospital increased.