某综合性三级甲等医院急诊科592例院内抢救病例的临床分析  

Clinical analysis of 592 hospital rescue cases in Department of Emergency in a comprehensive three grade A hospital

作　　者：李锐臻[1] 韩世范[2] 高岭[2] 王子秀[2] 杜娟[2] 王嵘[2] 

机构地区：[1]山西医科大学护理学院 [2]山西医科大学第一医院

出　　处：《全科护理》2012年第16期1447-1449,共3页Chinese General Practice Nursing

摘　　要：[目的]了解综合性三级甲等医院急诊科院内抢救疾病的分布与构成。[方法]回顾性分析2010年山西医科大学第一医院急诊科592例院内抢救病例的临床资料。[结果]年龄多分布在60岁～80岁年龄组,男性多于女性;以呼吸系统疾病、消化系统疾病、循环系统疾病、中毒与物理损害最多;主要病种为上消化道出血、肺部感染(肺炎、重症肺炎)、慢性阻塞性肺疾病急性加重、急性心肌梗死、中毒与物理损害、支气管哮喘急性发作;以危及生命的急性症状或急性临床综合征入院抢救主要集中在呼吸困难、呼吸心搏骤停、昏迷、咯血、胸痛、胸闷、晕厥、呼吸衰竭、急性肾衰竭、休克、急性冠脉综合征。[结论]急诊抢救病例的分布具有一定规律,可为急诊科抢救护理工作指明重心,有利于急诊科护理抢救工作的开展。Objective： To know about the distribution and structure of the hospital rescue diseases in Department of Emergency in a comprehensive three grade A hospital. Methods： The clinical data of 592 hospital rescue cases were retrospectively analyzed in department of emergency in First hospital of Shanxi medical university in 2010. Results. The age was almost distributed in age group of 60 to 80 years old, and men were more than women. There were almost respiratory diseases, digestive diseases, circu latory system diseases, poisoning and physical damage. The main entities were upper gastrointestinal hemorrhage, lung infection （pneumonia, se vere pneumonia）, acute exacerbation of chronic obstructive pulmonary dis ease, acute myocardial infarction, poisoning and physical damage, bronchial asthma exacerbations. The main acute symptoms of life threatening or a cute clinical syndrome hospitalized for treatment were dyspnea, respiratory cardiac arrest, coma, hemoptysis, chest pain, chest tightness, syncope, re spiratory failure, acute renal failure, shock and acute coronary syndrome. Conclusion：The distribution of rescue cases in department of emergency has certain regularity. It can designate the center for rescue work and it is conducive to carry out rescue work.

关 键 词：急诊护理 院内抢救 临床分析 

分 类 号：R47[医药卫生—护理学]