急诊科分流住院患者的诊断调查分析  

Analysis of diagnosis of hospitalized patients diverted from emergency department

作　　者：魏德海[1] 常琴[1] 王露颖[1] 

机构地区：[1]新疆生产建设兵团医院急诊科,乌鲁木齐830002

出　　处：《中国医药》2011年第10期1235-1236,共2页China Medicine

摘　　要：目的分析由急诊科分流到各专科住院患者诊断的准确性，为加强急诊科的学科建设提供科学依据。方法回顾性分析新疆生产建设兵团医院2010年7月1日至8月15日由急诊科分流收入各临床专科住院的327份完整病例。以出院确定诊断为标准，观察急诊科初步诊断的符合率，并分组比较辅助检查的数量。结果急诊科做出的初步诊断有212例符合出院确定诊断，符合率为64．8％（212／327）。其中，内科患者诊断符合率为51．6％（98／190），外科患者诊断符合率为83．2％（114／137），外科患者诊断符合率较高（P〈0．05）；2组患者入院前辅助检查的数量差异无统计学意义（P〉0．05）。结论急诊医师必须提高自身专业素质，不能过分依赖辅助检查。在保证患者生命体征平稳的同时，提高急诊科诊断水平，尤其是急诊内科诊断水平是今后学科建设的重点之一。Objective To analyze diagnostic accuracy of the hospital specialist wards cases diverted from emergency department, and to provide a scientific basis for the discipline to strengthen the construction of the emergency department. Methods Totally 327 complete cases of the clinical specialties wards of Xinjiang production and construction corps hospital, from July 1, 2010 to August 15, 2010, diverted from the emergency department, were analyzed. Coincidence rate of initial emergency department diagnosis was observed, and the number of auxiliary checks between groups was comparative analyzed. Results The initial diagnosis of 212 patients made by emergency department met the discharge diagnosis and the diagnostic agreement rate was 64.8% （212/327）. Among them, the medical diagnosis case rate was 51.6% （98/190） and surgical cases was 83.2% （114/137）. Compared with two groups of patients, the number of auxiliary examination before admission was not significantly different （P 〉 0.05）. Conclusions Emergency physicians must improve their professional quality. At the same time, maintaining patients with stable vital signs, together with improving emergency department diagnosis and the diagnosis of emergency medicine are key subjects in the future.

关 键 词：急诊医学 急诊科 诊断 急诊医师 

分 类 号：R059.7[医药卫生]