CAJ | 학술논문

目的缩短急危重症手术患者抢救时间,提高工作效率.方法手术室针对手术治疗环节存在的护理配合问题进行分析、讨论,构建急危重症手术患者救治流程图.根据卫生部急诊患者病情分级指导原则:对急诊手术患者实施 ABC手术分类评估病情,合理、迅速安排手术,配置不同级别护理人员实施手术.结果2011年应用急救手术流程图后,急危重症患者手术救治时间较2010年实施急诊手术平均缩短了35.4 min;急危重症手术患者救治例数增加了21.12%;提高了手术间利用率1.52例/间.结论急危重症患者急救流程图的应用优化了急危重手术患者管理,提高了工作效率.
목적축단급위중증수술환자창구시간,제고공작효솔.방법수술실침대수술치료배절존재적호리배합문제진행분석、토론,구건급위중증수술환자구치류정도.근거위생부급진환자병정분급지도원칙:대급진수술환자실시 ABC수술분류평고병정,합리、신속안배수술,배치불동급별호리인원실시수술.결과2011년응용급구수술류정도후,급위중증환자수술구치시간교2010년실시급진수술평균축단료35.4 min;급위중증수술환자구치례수증가료21.12%;제고료수술간이용솔1.52례/간.결론급위중증환자급구류정도적응용우화료급위중수술환자관리,제고료공작효솔.
Objective To shorten the time to rescue critical surgical patients, and to improve the survival rate by surgical treatment. Methods A rescue scheme was established after the discussion and analysis of problems existing in operating room. With Disease Severity Grading Principle developed by Ministry of Public Health, surgeries performed on patients were classified into Grade A, B or C according to the patients’ conditions; then a rescue scheme for critical surgical patients was built up. Results In 2011, with the application of surgical rescue scheme, the time spent on rescuing critically ill patients was reduced by 35.4 min; the number of patients rescued was increased obviously by 21.12%. The morbidity of surgical patients was reduced obviously and the utilization rate of operation rooms was increased by 1.52 cases per room. Conclusion Rescue scheme is effective for improving the management of and increasing the survival rate of critically ill surgical patients.