急诊危重症789例流行病学分析及意义.docVIP

精品论文 参考文献 急诊危重症789例流行病学分析及意义 刘荣格唐立真 　　（邢台医专第二附属医院急诊科河北邢台054000） 　　作者简介：刘荣格,女,39岁,汉族,本科,副主任医师,河北省平乡县,研究方向:急救医学。【摘要】目的:研究我院建院三年急诊科抢救的危重病病种规律及抢救成功率变化趋势。方法:对我院建院始20097～20127三年来在急诊科抢救的789例危重症患者的年龄、性别、时间分布、疾病谱、病死率等进行回顾性分析。结果:外伤、心血管病、脑血管病、中毒、院外死亡是急诊科前五位危重病种；男性多于女性；中年组最多285例，占3612%；心肺复苏病例数最多的是“院前死亡”，院前死亡中年居多75例，占512%，全天就诊高峰在20：00～22:00为就诊高峰。结论:急诊工作的核心是对危重患者的病情综合全面评估，及时解除危及生命的紧急情况并尽快分流，应关注青年人心里健康，减少自发行为造成致死、致残率，普及公众急救知识，加强院前急救及培养一专多能的高级全科急诊医师。 　　【关键词】急诊科;危重症;流行病学Epidemiological analysis on789 emergency critical patients since the founding of New level 3 comprehensive hospital 　　Liu RonggeTang Lizhen(The emergency department of the Second Affiliated Hospital of Xingtai Medical College, Hebei, Xingtai, 054000) 　　【Abstract】Objective： It is to study the changing tendency of the rule of eritical disease salvaged in emergency deparment and the rate of successful rescue recent three years since the founding of our hospital.Methods: The ages genders time distribution,disease scores and fatality rates of 789 critical patients salvaged in emergency departmant of our hospital from 20097～20127 were retrospectively analyzed.Results: Injuries circulatory diseases nervous diseases poisoning hearts stopped beating before receiving hospital care were tope five critical diseases in emergency department Male cases out-numbered female case.Most middle-aged group in 285 cases,accounting for 3612%; Cardiopulmonary resuscitation (CPR) cases was largely dying before the court, died before the majority of middle age 75 cases(512%).The number of rescued patients showed peak in whole day from 20:00 to 22:00Conclusion: The emergency treatment should focus an overall evaluation of critical patients，prombtly solving severe problems and sending patients to relevant units as soon as possible.The physical and mental mental health of young people should be contreatment should be disseminated emengency rescue skills before receiving hospital care should be upgraded and advanced doctors who are e