急危重症就诊特点分析  

The Analysis of Character of High Risk Intensive Clients

作　　者：冯欣蘅[1] 崔华中[1] 韩溟[1] 邓利芝[1] 李炯[1] 

机构地区：[1]汕头大学医学院第二附属医院急诊科,515041

出　　处：《岭南急诊医学杂志》2005年第2期104-105,116,共3页Lingnan Journal of Emergency Medicine

摘　　要：目的:研究该院急诊急危重症就诊特点。方法:回顾性分析该院2003-6-1～2004-5-31急诊科急危重症病人的性别、年龄、就诊时间、病因、死亡等临床资料。结果:(1)急危重症位于前5位的是外伤、神经、循环、消化系统疾病和中毒(分别占35.7%、18.9%、10.6%、8.3%、7.4%)。(2)不明原因院前死亡占死亡病例46.2%。(3)外伤以青壮年男性居多,<40岁者占78.6%;中毒以女性青壮年居多,占76.8%;中老年人以神经、循环、消化系统疾病居多,>40岁者分别占81.5%、86.9%、68.0%。(4)急危重症就诊全年出现2个高峰,分别是7～9月和11～1月;全天的就诊高峰在18∶00～0∶00时。结论:研究急诊急危重症就诊特点,能为急诊科急危重症的防治抢救、学科建设、人员培养、和科学管理提供科学依据。Objective: To investigate the character of high risk intensive clients in our hospital. Methods: Analyzing the cases of the emergency retrospectively from 6/1/2003 to 5/31/2004. Results: (1)The most frequent site of high risk intensive clients were trauma, nervous, circulatory and digestive system diseases and intoxication. (2)Death of unknown origin before hospitalization occupied 46.2% of all cases of death. (3)The most frequent site of trauma was youth, 78.6% were less than 40 years; the most frequent site of intoxication was young female, occupied 76.8%;most of the old( > 40 yaers) suffered from nervous, circulatory and digestive system diseases(81.5%?86.9%?68.0%). (4)The number of high risk intensive clients showed tow peaks in the whole year (July ～ September and November～January) and in the whole day(18～0 o'clock). Conclusion: It can improve the prevention and cure, subject construction, personnel cultivation and management in emergency department by studying character of high risk intensive clients.

关 键 词：急危重症 就诊特点 流行病学 统计分析 

分 类 号：R181.3[医药卫生—流行病学]