消化专科重症监护室541例住院患者特点分析  

Analysis on characteristics among 541 inpatients in gastroenterology intensive care unit

作　　者：张寅[1] 张艳梅[1] 杨敏[1] 陈琳琳 何燕[1] 陈东风[1] 肖潇[1] ZHANG Yin;ZHANG Yanmei;YANG Min;CHEN Linlin;HE Yan;CHEN Dongfeng;XIAO Xiao(Department of Gastroenterology,Institute of Field Surgery Research,Daping Hospital,Army Military Medical University,Chongqing 400042,China)

机构地区：[1]陆军军医大学大坪医院野战外科研究所消化内科,重庆400042

出　　处：《重庆医学》2018年第27期3533-3535,共3页Chongqing medicine

摘　　要：目的探讨该院消化专科重症监护病房(GICU)住院病例的特点与转归。方法对该院GICU成立1年来收治的541例患者(占全科收治总人数的12.30%)的主要来源、平均住院时间、疾病构成、特色技术及治疗转归等进行回顾性分析。结果 GICU患者主要来源于该院消化内科门诊与急诊科;疾病构成比占前6位的是肝硬化并食管胃静脉曲张破裂出血、消化性溃疡并出血、其他原因消化道出血、急性胰腺炎、内镜下治疗或介入术后转入、肝衰竭;GICU转归方面,好转后转入该科普通病房的患者占86.14%,痊愈出院的患者占13.13%,总病死率为0.74%。结论 GICU病种复杂,涉及多学科多专业,病情危重多变,应提高消化专科医生的急危重症救治水平,建立一支专业GICU团队。Objective To investigate the characteristics and outcomes of inpatients in the gastroenterology intensive care unit(GICU).Methods A total of 541 inpatients(counting for near 12.30%of total treatment patients in this department)treated in one year since GICU establishment were retrospectively analyzed,including the main resource,average hospitalization time,disease constitution,special medical technology and outcomes.Results The GICU patients mainly derived from the outpatient and emergency department.The top 6 places of disease constitution were in turn esophagogastric variceal bleeding,peptic ulcer bleeding,other causes of gastrointestinal bleeding,acute pancreatitis,transfering after endoscopic treatment or interventional therapy and liver failure.In the aspect of GICU outcomes,transfering to the common wards after improvement accounted for 86.14%,the patients with cure discharge accounted for 13.13%and the total mortality rate was 0.74%.Conclusion The disease entities in GICU is complex and involved in multidisciplinarity and multiple specialties,the disease condition is serious and changeable,thus increasing the treatment level of emergency and severe diseases and establishing a specialty GICU team have the important value.

关 键 词：疾病构成 消化专科重症监护病房 病例分析 

分 类 号：R57[医药卫生—消化系统]