中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2012年
26期
3110-3113
,共4页
急诊%危重患者%流行病学%综合医院
急診%危重患者%流行病學%綜閤醫院
급진%위중환자%류행병학%종합의원
Emergency department%Critical care patients%Epidemiology%Comprehensive hospital
目的 研究急诊科抢救区危重患者的流行病学特点.方法 对2011年急诊科抢救区2987例危重患者的年龄、性别、入科及转归时间分布、疾病谱和病死率等进行回顾性分析.结果 循环系统、神经系统、呼吸系统疾病是急诊科的前3位危重病；男性多于女性；60～79岁老年组抢救人数最多；病死率由高到低前3位疾病是院前猝死、血液系统疾病和呼吸系统疾病；急诊抢救患者全年出现2个就诊高峰,分别为4月及12月,全天就诊高峰在16:00～ 20:00.结论 危重患者的抢救工作是急诊工作的重中之重,应及时解除危及生命的紧急情况并尽快分流；抢救对象主要为老年心脑血管及呼吸系统疾病；应根据急诊抢救患者的分布特点合理安排人员及物资；建立病死率较高的几种急性单病种的绿色通道,建立院内合作团队,提高抢救成功率；做好相关的健康宣教工作,普及高危人群的急救知识.
目的 研究急診科搶救區危重患者的流行病學特點.方法 對2011年急診科搶救區2987例危重患者的年齡、性彆、入科及轉歸時間分佈、疾病譜和病死率等進行迴顧性分析.結果 循環繫統、神經繫統、呼吸繫統疾病是急診科的前3位危重病；男性多于女性；60～79歲老年組搶救人數最多；病死率由高到低前3位疾病是院前猝死、血液繫統疾病和呼吸繫統疾病；急診搶救患者全年齣現2箇就診高峰,分彆為4月及12月,全天就診高峰在16:00～ 20:00.結論 危重患者的搶救工作是急診工作的重中之重,應及時解除危及生命的緊急情況併儘快分流；搶救對象主要為老年心腦血管及呼吸繫統疾病；應根據急診搶救患者的分佈特點閤理安排人員及物資；建立病死率較高的幾種急性單病種的綠色通道,建立院內閤作糰隊,提高搶救成功率；做好相關的健康宣教工作,普及高危人群的急救知識.
목적 연구급진과창구구위중환자적류행병학특점.방법 대2011년급진과창구구2987례위중환자적년령、성별、입과급전귀시간분포、질병보화병사솔등진행회고성분석.결과 순배계통、신경계통、호흡계통질병시급진과적전3위위중병；남성다우녀성；60～79세노년조창구인수최다；병사솔유고도저전3위질병시원전졸사、혈액계통질병화호흡계통질병；급진창구환자전년출현2개취진고봉,분별위4월급12월,전천취진고봉재16:00～ 20:00.결론 위중환자적창구공작시급진공작적중중지중,응급시해제위급생명적긴급정황병진쾌분류；창구대상주요위노년심뇌혈관급호흡계통질병；응근거급진창구환자적분포특점합리안배인원급물자；건립병사솔교고적궤충급성단병충적록색통도,건립원내합작단대,제고창구성공솔；주호상관적건강선교공작,보급고위인군적급구지식.
Objective To investigate the epidemiological features of critical patients in our emergency rescue area.Methods The ages,genders,time distribution of entering and turning out,disease scores and mortality rates of 2987 critical care patients rescued in emergency department of our hospital in 2011 were retrospectively analyzed.Results Circulatory,neurological diseases and respiratory diseases were the top three critical diseases in the emergency department.More male cases were received than female cases.Senior citizens aged from 60 to 79 were the largest group needing rescue.The diseases contributed to the top three mortality rates were sudden death out of hospital,hematological diseases and respiratory diseases. Peak time of the rescuing were December and April of the year and 16:00 to 20:00 of the day.Conclusions Resuing critical care patients is the emphasis of the emergency department.Promptly solving fatal problems and sending patients to relevant units as soon as possible is the necessary.Given the main targets are elderly patients with cardiac or cerebrovascular diseases as well as respiratory diseases,emergency staff and resources should be arranged and assigned properly according to the distribution features of the critical patients.Rescue green channel of several fatal diseases could be built to establish cooperative teams and improve the success rate of rescuing.Health education should also be strengthened to promote the emergency treatment knowledge for the high risk population.
