发热门诊患者疾病谱回顾性分析及诊前教育对策  

Disease Spectrum in Fever Outpatient Department and Pre-treatment Education Strategy:A Retrospective Analysis

作　　者：李凯燕[1] 张小群[2] 张婷[3] 张红[4] 肖红菊[5] 刘刚[5] 

机构地区：[1]解放军总医院门诊部干部诊疗科,北京100853 [2]解放军总医院内分泌科,北京100853 [3]解放军总医院骨科,北京100853 [4]解放军总医院肾科,北京100853 [5]解放军总医院发热门诊,北京100853

出　　处：《中华医院感染学杂志》2009年第7期798-799,共2页Chinese Journal of Nosocomiology

摘　　要：目的分析综合医院发热门诊就诊患者的疾病谱及发热病例的流行病学特征,为发热患者的就诊进行针对性的安排及相应的指导。方法采用回顾性分析方法,对2007年10月-2008年3月就诊的9376例发热及肠道感染患者,做疾病谱及流行病学特征分析。结果发热病例的疾病谱中,呼吸道感染占57.99%,急性胃肠炎(包括食物中毒及感染性腹泻)占18.60%,明确原因的其他部位感染占12.74%,扁桃体炎占4.59%;病情急、重、变化快的患者需首先安排就诊。结论发热门诊发热病例比较复杂,病情变化快,医务人员掌握发热病例的流行病学特征及病情变化特点,根据不同患者的病情做好接诊及诊前教育工作,使每例患者都能得到及时有效的救治。OBJECTIVE To analyze the disease spectrum and the epidemiotogic characteristics of fever patients, providing effective and precise medical service for them. METHODS The disease spectrum and the epidemiologic characteristics of 9376 cases of fever or intestinal disease patients from Oct 2007 to Mar 2008 were analyzed retrospectively. RESULTS Among those patients with fever, there were 57. 99% patients with respiratory infection, followed by 18.60% cases with gastroenteritis, 12.74% cases with infection at other sites and 4. 59% cases with tonsillitis. The fist priority was given to the patients with severe syndromes and acute onset. CONCLUSIONS Fever cases usually have complicated disease history, with an easy-to-change character of disease status. This study will provide some clues to improve our future medical service for fever patients.

关 键 词：发热门诊 疾病谱 回顾性分析 就诊 诊前教育 

分 类 号：R181.32[医药卫生—流行病学]