中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
12期
123-123,125
,共2页
前急救%急救护理%重要性
前急救%急救護理%重要性
전급구%급구호리%중요성
Pre-hospital emergency care%Emergency nursing%Importance
目的：探讨院前急救护理工作在医院急救中的作用。方法：2013年2月-2014年1月收治院前急救患者3066例，男1965例，女1101例，年龄3个月～89岁，平均54.2岁。其中，各种车祸意外伤1315例，心血管疾病302例，脑血管疾病412例，小儿高热抽搐76例，呼吸系统疾病133例，腹痛及消化系统疾病152例，孕产妇49例，各种中毒255例，其他372例。对3066例患者院前护理资料进行分类总结。结果：本组3066例患者进行心肺复苏145例(4.7%)，气管插管50例(1.67%)，吸痰170例(5.5%)，心电监护255例(8.3%)，心电图599例(19.5%)，静脉输液用药1704例(55.6%)，吸氧2466例(80.4%)。经过院前护理，回院门诊治疗916例(29.9%)，回院住院治疗1626例(53.0%)，患者要求转到其他医院治疗286例(9.3%)，送回家中24例(0.8%)，上急救车前死亡184例(6.0%)，经抢救护理无效30例(0.9%)。结论：院前急救是救治患者的重要环节，增强护理人员的院前急救意识，能够很好地挽救生命，同时避免不必要的医疗纠纷。
目的：探討院前急救護理工作在醫院急救中的作用。方法：2013年2月-2014年1月收治院前急救患者3066例，男1965例，女1101例，年齡3箇月～89歲，平均54.2歲。其中，各種車禍意外傷1315例，心血管疾病302例，腦血管疾病412例，小兒高熱抽搐76例，呼吸繫統疾病133例，腹痛及消化繫統疾病152例，孕產婦49例，各種中毒255例，其他372例。對3066例患者院前護理資料進行分類總結。結果：本組3066例患者進行心肺複囌145例(4.7%)，氣管插管50例(1.67%)，吸痰170例(5.5%)，心電鑑護255例(8.3%)，心電圖599例(19.5%)，靜脈輸液用藥1704例(55.6%)，吸氧2466例(80.4%)。經過院前護理，迴院門診治療916例(29.9%)，迴院住院治療1626例(53.0%)，患者要求轉到其他醫院治療286例(9.3%)，送迴傢中24例(0.8%)，上急救車前死亡184例(6.0%)，經搶救護理無效30例(0.9%)。結論：院前急救是救治患者的重要環節，增彊護理人員的院前急救意識，能夠很好地輓救生命，同時避免不必要的醫療糾紛。
목적：탐토원전급구호리공작재의원급구중적작용。방법：2013년2월-2014년1월수치원전급구환자3066례，남1965례，녀1101례，년령3개월～89세，평균54.2세。기중，각충차화의외상1315례，심혈관질병302례，뇌혈관질병412례，소인고열추휵76례，호흡계통질병133례，복통급소화계통질병152례，잉산부49례，각충중독255례，기타372례。대3066례환자원전호리자료진행분류총결。결과：본조3066례환자진행심폐복소145례(4.7%)，기관삽관50례(1.67%)，흡담170례(5.5%)，심전감호255례(8.3%)，심전도599례(19.5%)，정맥수액용약1704례(55.6%)，흡양2466례(80.4%)。경과원전호리，회원문진치료916례(29.9%)，회원주원치료1626례(53.0%)，환자요구전도기타의원치료286례(9.3%)，송회가중24례(0.8%)，상급구차전사망184례(6.0%)，경창구호리무효30례(0.9%)。결론：원전급구시구치환자적중요배절，증강호리인원적원전급구의식，능구흔호지만구생명，동시피면불필요적의료규분。
Objective:To investigate the effect of pre-hospital emergency care work in hospital emergency.Methods:3066 patients with pre-hospital emergency from February 2013 to January 2014 were selected.1965 cases were male,1101 cases were female. The age was 3 months to 89 years old.The average age was 54.2 years old.Specific situations:1315 cases were various car accident injury,302 cases were cardiovascular disease,412 cases were cerebral vascular disease,76 cases were children with febrile convulsions,133 cases were respiratory system diseases,152 cases were abdominal pain and digestive system diseases,49 cases were pregnant women,255 cases were all kinds of poisoning,and 372 cases were other.The data of 3066 patients with pre-hospital care were summaried.Results:In 3066 patients,145 cases(4.7% ) were cardiopulmonary resuscitation,50 cases(1.67% ) were tracheal intubation,170 cases(5.5%) were sputum suction,255 cases(8.3%) were ECG monitoring,599 cases (19.5%) were ECG, 1704 cases (55.6% ) were venous transfusion medicine,2466 cases(80.4% ) were oxygen.After pre-hospital nursing,916 cases(29.9%) were back to the hospital for ambulatory treatment,626 cases(53%) were back to the hospital for hospitalization,286 cases(9.3%) were asked for a transfer to another hospital for treatment,24 cases(0.8%) went home,184 cases(6%) died before the ambulance,30 cases(0.9%) failed in the rescue nursing.Conclusion:Pre-hospital emergency care is an important part of treatment patients,can enhance the awareness of pre-hospital care of nursing staff,and it can be very good to save lives and avoid unnecessary medical disputes.
