CAJ | 학술논문

目的：分析急诊科危重症患者的疾病种类、患病性别、年龄、时间分布等特点，用以合理安排医疗资源，提高急诊应急能力和诊疗质量。方法回顾整理我院2006年1月1日～2010年12月30日急诊科575名资料完整APACHE-II评分大于15分（含15），年龄大于16岁（含16）患者病例，分析危重症构成及规律。用EXCEL软件进行计算。结果急诊危重症患者人数呈逐年上升趋势，急诊危重症位居前五位的是：神经科系统疾病、循环系统疾病、呼吸系统疾病、中毒、颅脑损伤。急诊危重症患者男多于女，发病年龄段前5位的是：76岁以上，66～75岁，46～55岁，56～65岁，36～45岁。就诊量位居前五位月份是：1月、2月、3月、10月、4月。结论本研究揭示了我院16岁以上危重症疾病谱及性别、年龄、时间分布规律，为应对疾病高峰期，合理安排医疗资源，提高抢救成功率提供资料。
목적：분석급진과위중증환자적질병충류、환병성별、년령、시간분포등특점，용이합리안배의료자원，제고급진응급능력화진료질량。방법회고정리아원2006년1월1일～2010년12월30일급진과575명자료완정APACHE-II평분대우15분（함15），년령대우16세（함16）환자병례，분석위중증구성급규률。용EXCEL연건진행계산。결과급진위중증환자인수정축년상승추세，급진위중증위거전오위적시：신경과계통질병、순배계통질병、호흡계통질병、중독、로뇌손상。급진위중증환자남다우녀，발병년령단전5위적시：76세이상，66～75세，46～55세，56～65세，36～45세。취진량위거전오위월빈시：1월、2월、3월、10월、4월。결론본연구게시료아원16세이상위중증질병보급성별、년령、시간분포규률，위응대질병고봉기，합리안배의료자원，제고창구성공솔제공자료。
Objective Analysis of the character of critical patients of the emergency department in disease species、age and gender of patients、distribution of sick time to rational arrange the medical resources、Improve emergency ability and the quality of medical.MethodsRetrospectively analysis of constitution and law of the 575 patients cases which have the complete APACHE-II score more than 15 points (including 15), and the age is more than 16 years old (including 16) of 2006.01.01~2010.12.30. Use of EXcellsoftware to calculate.Result The critically ill patients number of emergency treatment is increasing year by year .The top five is:neurologist system disease、circulation system disease、 respiratory system disease、poisoning、craniocerebral injury. The number of male patients are more than female patients. Age group of the top five is: 76 years of age or older, 66~75 years old, 46~55 years old, 56~65 years old, 36~45 years old. The numbers of patients the five top months is January、February、March、October and April.Conclusion The study reveals the spectrum of critically disease and distribution of gender、age and time of patients over 16 years old. It can furnish information of response to the disease peak, reasonable arrange the medical resources and improve the success rate.