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综合性医院急诊患者流行病学研究 被引量:48

Prospective study on epidemiology among the emergency patients in a comprehensive hospital
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摘要 目的研究综合性医院急诊患者流行病学特点。方法采用前瞻性资料收集的方法,对2003年度到本院急诊患者的性别、年龄、就诊时间、职业、就诊方式、急诊诊断或主诉、去向等项目进行调查统计分析。结果共收到57636份调查表,占全年急诊实际患者的98.06%。男女比例为1.27:1。高发年龄组为0-9岁、20-29岁和30-39岁3个组。4、5、6月份就诊患者最多。每天18:00-23:00为来诊高峰时间。前三位职业依次为儿童学生、干部职员、工人。利用出租车或小车来诊者占44.46%,公共汽车占16.12%,救护车占11.53%。收入院率17.73%。报告了除创伤、发热外20种急诊诊断或主诉。结论①要特别重视男性健康和安全防范教育,提高救治水平对人类健康和学科建设有重大意义;②急诊科是应对突发公共事件重要的部门,要有应急预案;③根据急诊患者就诊密度,科学合理地安排工作;④急诊服务半径相对较小,急诊患者是住院患者的主要来源;⑤院前急救-急诊室急救-急诊或中心ICU一体化模式是符合急诊学科发展的模式;⑥常见诊断或主诉,对指导急诊专业人员培训有意义。 Objective To study the characteristics of epidemiolngy among the emergency patients in a comprehensive hospital. Methods The patients' data, including sex, age, visiting time, occupation, visiting method, emergency diagnosis or chief complaints were analyzd. Results 57636 questionairs were returned from the emergency patients, accounting for 98.06% of the total emergency patients in the whole year. Male to female ratio was 1.27 to 1 among the patients. The patients were centralized at ages of 0-9 years old, 20 - 29 years old and 30 - 39 years old and in April, May and June.The everyday peak time was 18:00 - 23: 00, which accounted for 48.74% of the whole day's number. The top three occupations were students, official staff and workers. 44.46% of patients came to the hospital by taxi or car, 16.12% by bus, 11.53% by ambulance. Trauma patients accounted for 73.37% of the surgical patients. Admission rate was 17.73%. Besides trauma and fever, 20 more diagnosis and chief complaints were reported. Conclusion ①Men's health, safety education and treatment improvement is important for human health and science development; ②Emergency department is one of the most important unitd responding to the public health events, which should have lash-up schemes; ③Aceording to the emergency visit density, work should be scientifically arranged; ④The scope of emergency service is relatively small and emergency patients are the main source of admitted patients; ⑤The model of pre-hospital first aid-first aid in emergeney room-emergency or central ICU-is in consistent with the development of emergency medicine; ⑥The common diagnosis and chief complaints are valuable in training emergency staff.
作者 阮海林 冯小梅 杨春旭 丁爱国 何志强 唐柳萍 RUAN Hailin, FENG Xiaomei , YANG Chunxu , DING Aiguo , HE Zhiqiang , TANG Liuping .(Liuzhou Worker's Hospital, The Fourth affiliated hospital, Guangxi Medical University, Guangxi, Liuzhou 545005, China)
出处 《中华急诊医学杂志》 CAS CSCD 2006年第2期 144-147,共4页 Chinese Journal of Emergency Medicine
基金 吴阶平医学基金会立项资助课题(Z2002100),柳州市科技局(24D),广西壮族自治区柳州科技局、市科协资助项目(20030326)
关键词 患者 急诊 流行病学 综合性医院 Patients Emergency Epidemiology
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