中国医药
中國醫藥
중국의약
CHINA MEDICINE
2011年
10期
1235-1236
,共2页
急诊医学%急诊科%诊断%急诊医师
急診醫學%急診科%診斷%急診醫師
급진의학%급진과%진단%급진의사
Emergency department%Diagnosis%Emergency medicine%Emergency physicians
目的 分析由急诊科分流到各专科住院患者诊断的准确性，为加强急诊科的学科建设提供科学依据。方法 回顾性分析新疆生产建设兵团医院2010年7月1日至8月15日由急诊科分流收入各临床专科住院的327份完整病例。以出院确定诊断为标准，观察急诊科初步诊断的符合率，并分组比较辅助检查的数量。结果 急诊科做出的初步诊断有212例符合出院确定诊断，符合率为64.8％(212/327)。其中，内科患者诊断符合率为51.6％(98/190)，外科患者诊断符合率为83.2％ (114/137)，外科患者诊断符合率较高(P＜0.05)；2组患者入院前辅助检查的数量差异无统计学意义(P＞0.05)。结论 急诊医师必须提高自身专业素质，不能过分依赖辅助检查。在保证患者生命体征平稳的同时，提高急诊科诊断水平，尤其是急诊内科诊断水平是今后学科建设的重点之一。
目的 分析由急診科分流到各專科住院患者診斷的準確性，為加彊急診科的學科建設提供科學依據。方法 迴顧性分析新疆生產建設兵糰醫院2010年7月1日至8月15日由急診科分流收入各臨床專科住院的327份完整病例。以齣院確定診斷為標準，觀察急診科初步診斷的符閤率，併分組比較輔助檢查的數量。結果 急診科做齣的初步診斷有212例符閤齣院確定診斷，符閤率為64.8％(212/327)。其中，內科患者診斷符閤率為51.6％(98/190)，外科患者診斷符閤率為83.2％ (114/137)，外科患者診斷符閤率較高(P＜0.05)；2組患者入院前輔助檢查的數量差異無統計學意義(P＞0.05)。結論 急診醫師必鬚提高自身專業素質，不能過分依賴輔助檢查。在保證患者生命體徵平穩的同時，提高急診科診斷水平，尤其是急診內科診斷水平是今後學科建設的重點之一。
목적 분석유급진과분류도각전과주원환자진단적준학성，위가강급진과적학과건설제공과학의거。방법 회고성분석신강생산건설병단의원2010년7월1일지8월15일유급진과분류수입각림상전과주원적327빈완정병례。이출원학정진단위표준，관찰급진과초보진단적부합솔，병분조비교보조검사적수량。결과 급진과주출적초보진단유212례부합출원학정진단，부합솔위64.8％(212/327)。기중，내과환자진단부합솔위51.6％(98/190)，외과환자진단부합솔위83.2％ (114/137)，외과환자진단부합솔교고(P＜0.05)；2조환자입원전보조검사적수량차이무통계학의의(P＞0.05)。결론 급진의사필수제고자신전업소질，불능과분의뢰보조검사。재보증환자생명체정평은적동시，제고급진과진단수평，우기시급진내과진단수평시금후학과건설적중점지일。
Objective To analyze diagnostic accuracy of the hospital specialist wards cases diverted from emergency department, and to provide a scientific basis for the discipline to strengthen the construction of the emergency department. Methods Totally 327 complete cases of the clinical specialties wards of Xinjiang production and construction corps hospital, from July 1, 2010 to August 15, 2010,diverted from the emergency department, were analyzed. Coincidence rate of initial emergency department diagnosis was observed, and the number of auxiliary checks between groups was comparative analyzed. Results The initial diagnosis of 212 patients made by emergency department met the discharge diagnosis and the diagnostic agreement rate was 64.8％ (212/327). Among them,the medical diagnosis case rate was 51.6％ (98/190) and surgical cases was 83.2％ (114/137). Compared with two groups of patients, the number of auxiliary examination before admission was not significantly different ( P ＞0.05). Conclusions Emergency physicians must improve their professional quality. At the same time, maintaining patients with stable vital signs, together with improving emergency department diagnosis and the diagnosis of emergency medicine are key subjects in the future.
