广东省38家基层医院儿科急诊情况调查  

Investigation on pediatric emergency department of 38 primary hospitals in Guangdong province

作　　者：欧明娥[1] 刘晓颖[1] 孟娜娜[1] 陈智锋[2] 冯炽光 

机构地区：[1]肇庆医学高等专科学校儿科教研室,广东省肇庆526020 [2]肇庆市第一人民医院急诊儿科,广东省肇庆526000 [3]肇庆市端州区妇幼保健院急诊儿科,广东省肇庆526040

出　　处：《中国基层医药》2017年第17期2599-2602,共4页Chinese Journal of Primary Medicine and Pharmacy

基　　金：广东省高职教育医药卫生专业教学指导委员会项目（2015015）

摘　　要：目的 了解广东省内基层医院儿科急诊现状,为开展适宜基层的儿科急诊技术提供依据.方法 自制调查问卷,以面对面及邮件回复的方式对广东省内基层医院进行问卷调查.调查内容包括医院所属地区及级别、儿科急诊的设置及关键设备、常见就诊症状和病种、地方医学院校儿科专业设置的必要性.结果 共发放问卷60份,有效问卷38份（63.3％）.38家基层医院来自广东省14个地区,未设有独立儿科急诊的16家（42.1％）,24家（63.2％）无血气分析仪,23家（60.5％）无除颤仪,22家（57.9％）无床旁超声、新生儿暖箱或暖台,17家（44.7％）无床旁X线、输液泵,13家（34.2％）无洗胃机,12家（31.6％）无呼吸机,8家（21.1％）无监护仪.前5位症状依次为发热、咳嗽、呕吐、腹泻、惊厥;前5位病种依次为肺炎、发热待查、急性胃肠炎、手足口病、惊厥查因.仅5家医院（13.2％）认为没必要在地方医学院校设置儿科专业.结论基层儿科急诊基本设备及专业人员严重不足,应加快基层儿科急诊建设,尽快完善当地儿童急危重症三级转诊系统的建设,探索适宜基层的儿科急诊用书及培训,在儿童保健工作中开展儿科急症健康教育,以利于改善基层儿科急诊现状.Objective To study the current situation of pediatric emergency department of primary hospitals in Guangdong province,in order to provide evidence for the development of appropriate pediatric emergency skill.Methods A questionnaire survey was conducted in primary hospitals of Guangdong province by face to face and mail.The questionnaire was self-designed,including the hospital area and level set,the key equipment in pediatric emergency,common symptoms and diseases,the need for pediatric specialty in local medical colleges.Results60 questionnaires were released and 38（63.3%） were available,which were from 14 different cities of Guangdong province.Among the 38 hospitals,16 hospitals（42.1%） had no independent pediatric emergency;24 hospitals（63.2%） had no blood gas analyzer;23 hospitals（60.5%） without a defibrillator;22 hospitals（57.9%） had no bedside ultrasound,neonatal warm or warm box;17 hospitals（44.7%） had no bedside X-ray,infusion pump;13 hospitals（34.2%） without gastric lavage machine;12 hospitals（31.6%） without ventilator;8 hospitals（21.1%） without the monitor.Top five symptoms were fever,cough,vomiting,diarrhea,convulsion.The top five diseases were pneumonia,fever of unknown,acute gastroenteritis,hand-foot-mouth disease,convulsion of unknown.Only 5 hospitals （13.2%） thought there was no need for pediatric specialty in local medical colleges.Conclusion Shortages of the pediatric emergency equipments and specialists are very severe in primary hospitals,in order to improve the status of pediatric emergency,some ways can be explored：the construction of grassroots pediatric emergency should be speeded up;a grades regional system for child emergency transport should be improved as soon as possible;the appropriate pediatric emergency skills and training for primary hospitals should be explored and compiled into instructions;pediatric emergency health education could be implemented in child health care.

关 键 词：医院 儿科 急诊处理 医院 乡村 医院 县 

分 类 号：R720.597[医药卫生—急诊医学]