医疗互动在双向转诊体制下对急诊脑疝患者的救治意义  

The meaning of medical personnel mobile in treating emergent cerebral hernia patient in the system of two-way referral

作　　者：张宏兵[1] 张建康 苏宝艳[1] 王晓峰[1] 郑龙[1] 

机构地区：[1]解放军第三医院神经外科,陕西宝鸡721004 [2]陇县人民医院外科

出　　处：《临床急诊杂志》2016年第11期852-854,共3页Journal of Clinical Emergency

摘　　要：目的:探讨医疗互动在双向转诊体制下对急诊脑疝患者的救治意义。方法:回顾分析2014-05-2015-01陇县人民医院急诊脑疝患者32例(A组),均采取转诊我院治疗。2015-02-2016-04两家医院采取了医疗互动对急诊脑疝患者的救治策略,经简单培训,陇县人民医院直接接诊脑疝患者,上级医疗人员移动,就地手术治疗51例(B组)。并对患者术前的一般情况及愈后进行比较。结果:B组较A组能使患者及时得到有效救治;术后1个月患者意识状态B组优于A组;A组、B组死亡分别为12例(37.50%)、9例(17.65%),2组比较差异有统计学意义(P<0.05)。结论:医疗互动是目前双向转诊救治体系的必要补充,尤其对神经外科脑疝的危急患者,能使其得到及时有效的救治,有一定的推广价值。Objective：To explore the significance of medical personnel mobile in treating emergent cerebral hernia patient in the system of two-way referral.Method：Team A：32emergent cerebral hernia referrals from People＇s Hospital of Long County（Second level of first-class hospital）to the Third Hospital of Chinese PLA（Level of firstclass hospital）from May,2014 to January,2015.Team B：the Third Hospital of Chinese PLA began to carry on medical personnel mobile for treating emergent cerebral hernia patients at People＇s Hospital of Long County from February,2015 to April,2016.At first,local hospital neurosurgical doctors trained by medical professionals from the Third Hospital of Chinese PLA treated 51 cerebral hernia patients at the local hospital.Preoperative factors and prognosis were compared between the two groups of patients.Result：Patients in Group B received effective treatment timely.Consciousness at postoperative 1month in group B is better than that of group A.The death rate in group A is 12（37.50%）and in group B is 9（17.65%）.The two groups have significant differences.Conclusion：Medical personnel mobile is a necessary complement for the system of two-way referral which has some promotional value,especially for treating neurosurgical emergent cerebral hernia patient.

关 键 词：医疗互动 双向转诊体制 脑疝 

分 类 号：R651.1[医药卫生—外科学]