CAJ | 학술논문

目的：主动脉夹层起病急、病情变化快，易诱发精神症状，影响患者的生命安全，文中采取医护合作干预方法研究对主动脉夹层患者继发精神症状的救治效果。方法构建医护合作组织架构；制定快速评估表和“一看二问三查四判五报”流程，建立快速救治绿色通道。选择32例主动脉夹层继发精神症状患者采用上述方法进行干预，观察确诊时间、从确诊到实施手术的时间，精神症状缓解时间、不良事件发生情况和住院时间。结果本组32例患者均在就诊后30 min内明确诊断，在确诊后30 min内紧急实施手术，较以往确诊和实施手术准备时间缩短1～2 h。手术后5～21 d精神症状均得到有效控制，未发生拔管、坠床、自伤或伤人等不良事件，无一例死亡，平均住院时间13．5 d，比以往同类患者住院时间缩短1．75 d。结论医护合作干预方法能快速识别主动脉夹层继发精神症状的患者、有效干预，避免不良事件，缩短住院时间。
목적：주동맥협층기병급、병정변화쾌，역유발정신증상，영향환자적생명안전，문중채취의호합작간예방법연구대주동맥협층환자계발정신증상적구치효과。방법구건의호합작조직가구；제정쾌속평고표화“일간이문삼사사판오보”류정，건립쾌속구치록색통도。선택32례주동맥협층계발정신증상환자채용상술방법진행간예，관찰학진시간、종학진도실시수술적시간，정신증상완해시간、불량사건발생정황화주원시간。결과본조32례환자균재취진후30 min내명학진단，재학진후30 min내긴급실시수술，교이왕학진화실시수술준비시간축단1～2 h。수술후5～21 d정신증상균득도유효공제，미발생발관、추상、자상혹상인등불량사건，무일례사망，평균주원시간13．5 d，비이왕동류환자주원시간축단1．75 d。결론의호합작간예방법능쾌속식별주동맥협층계발정신증상적환자、유효간예，피면불량사건，축단주원시간。
Objective Aortic dissection is accute in occurrence along with fast change , which is inclined to to induce psy-chotic symptoms and affect the lives of patients .The study was to investigate the effects of healthcare cooperative intervention on pa-tients with psychiatric symptoms secondary to aortic dissection . Methods We established medical cooperation organization structure to clarify the division of responsibility along with a quick assessment form , a process chart and a green channel for emergencey treat-ment.The above method was applied to intervene 32 patients with psychiatric symptoms secondary to aortic dissection and observe the diagnosis time , the time from diagnosis to surgery , the remission time of psychiatric symptoms , the incidence of adverse events and the length of stay. Results 32 patients were diagnosed within 30min followed by emergency surgery within 30min after diagnosis, which was 1-2 hours shorter than the previous diagnosis and surgery preparation time .5-21 d after surgery , psychiatric symptoms have been effectively controlled.Extubation, falling out of bed, self-injury or injury and other adverse events did not occur .No patient died, and the average length of stay was 13.5d, which was 1.75d shorter than the length of stay of previous similar patients . Conclusion The healthcare cooperation method can quickly identify patients with psychiatric symptoms secondary to aortic dissection , prevent adverse events and shorten the length of stay .