老年危重症死亡病例42例分析.docVIP

精品论文 参考文献 老年危重症死亡病例42例分析 王丽娜 陈洋 林志能 王波 梁景岳 范陈豪（美）（通信作者） 　　(浙江省台州市路桥区第二人民医院内科 318058) 　　【摘要】目的 分析当前老年内科危重症病例的病情特点和死亡原因，为提高医护人员的救治水平积累经验。方法 收集入院后60岁以上老年人因各种原因救治无效的死亡病例42例，通过对入院诊断、检查、治疗和病情恶化后抢救过程、死亡原因等方面的分析，讨论和总结死亡病例的特点、救治经验以及有待改进的知识和技术。结果 在两年中住我院内科总病例数为4312例，抢救病例517例，住院期间死亡的老年人42例，死亡人数占入院总人数的 0.97%。其中入院后24小时内死亡者14例，占死亡病例的33.3%，其余大部分在入院两周内死亡。死亡主要原因有猝死（12例，28.6%），脓毒症（9例，21.4%），心肌梗死（3例，7.1%），窒息（5例，11.9%），跌倒（3例，7.1%），肺栓塞（3例，7.1%），脑出血（3例，7.1%），代谢紊乱（5例，11.9% ）。结论 应加强老年人危重症患者在急诊和入院时的快速诊断和处理能力，入院后的监护措施和系统分析、处理方法应规范化，防止意外事件的发生需从加强护理入手。 　　【关键词】老年人 危重症 死亡 分析 　　【中图分类号】R592 【文献标识码】A 【文章编号】2095-1752（2014）23-0015-03 　　Analyses of Death in Forty Two Elderly Critical Patients 　　WANG Lina， CHEN Yang ， LIN Zhineng， WANG Bo ， LIANG Jingyue ， FAN Chenhao 　　Department of Internal Medicine， The Second Peoplersquo;s Hospital of Luqiao District， Taizhou City， Zhejiang Province 318058， China 　　【Abstract】 Objective: In order to improve resuscitation and management skills， and accumulate experience for medical staff， the characteristics and causes of death in the elderly critical patients were analyzed. Methods: Forty two cases of the elderly above 60 years of age who died after admission were collected. Based on analyses of admission diagnosis， check-up， medical therapy，resuscitation after the deterioration and causes of death， the characteristics of the diseases ， the lessons and experience during the treatment，the knowledge and technics during the care which need to be improved were discussed and summarized. Results: The total number of admitted patients in the two years was 4312. Among them， 517 cases had critical conditions and received life saving procedures. 42 cases were dead and mortality was 0.97% in the total patients. In dead patients， 14 cases died within 24 hours after admission， which accounted for 33.3%. The rest of patients mostly died in two weeks after admission. The major causes of death were sudden death (12