急救流程图在急危重症手术患者救治中的应用  

Application of Rescue Scheme in Treating Critical Surgical Patients

作　　者：高兴莲[1] 王曾妍[1] 吴荷玉[1] 扬英[1] 田莳[1] 

机构地区：[1]华中科技大学同济医学院附属协和医院,湖北武汉430022

出　　处：《护理学报》2013年第4期15-17,共3页Journal of Nursing（China）

基　　金：湖北省科技厅课题(2010DCZ024)

摘　　要：目的缩短急危重症手术患者抢救时间,提高工作效率。方法手术室针对手术治疗环节存在的护理配合问题进行分析、讨论,构建急危重症手术患者救治流程图。根据卫生部急诊患者病情分级指导原则:对急诊手术患者实施ABC手术分类评估病情,合理、迅速安排手术,配置不同级别护理人员实施手术。结果2011年应用急救手术流程图后,急危重症患者手术救治时间较2010年实施急诊手术平均缩短了35.4 min;急危重症手术患者救治例数增加了21.12%;提高了手术间利用率1.52例/间。结论急危重症患者急救流程图的应用优化了急危重手术患者管理,提高了工作效率。Objective To shorten the time to rescue critical surgical patients, and to improve the survival rate by surgical treatment. Methods A rescue scheme was estabhshed after the discussion and analysis of problems existing in operating room. With Disease Severity Grading Principle developed by Ministry of Public Health, surgeries performed on patients were classified into Grade A, B or C according to the patients＇ conditions; then a rescue scheme for critical surgical patients was built up. Results In 2011, with the application of surgical rescue scheme, the time spent on rescuing critically ill patients was reduced by 35.4 min; the number of patients rescued was increased obviously by 21.12%. The morbidity of surgical patients was reduced obviously and the utilization rate of operation rooms was increased by 1.52 cases per room. Conclusion Rescue scheme is effective for improving the management of and increasing the survival rate of critically ill surgical patients.

关 键 词：急危重症患者 急救流程图 手术分类 

分 类 号：R47[医药卫生—护理学] C931.3[医药卫生—临床医学]