眼专科医院患者突发急症分析  

Analysis of medical emergencies of patients in ophthalmic hospitals

作　　者：郑玲玲[1] 刘荣娇[2] 陈茗菲 林晓峰[2] ZHENG Lingling;LIU Rongjiao;CHEN Mingfei;LIN Xiaofeng(Ophthalmic Emergency Department,Zhongshan Ophthalmic Center,Sun Yat-sen University,Guangzhou 510000;Department of Ocular Trauma,Zhongshan Ophthalmic Center,Sun Yat-sen University,Guangzhou 510000;Department of Medical Affairs,Zhongshan Ophthalmic Center,Sun Yat-sen University,Guangzhou 510060,China)

机构地区：[1]中山大学中山眼科中心眼科急症科,广州510000 [2]中山大学中山眼科中心眼外伤科,广州510000 [3]中山大学中山眼科中心医务科,广州510060

出　　处：《眼科学报》2021年第10期792-797,共6页Eye Science

摘　　要：目的:分析眼专科医院患者突发急症现状,并探讨防控措施。方法:回顾性分析2017—2018年中山眼科中心82例突发急症事件,具体分析突发急症事件的特点、处置情况及患者转归。结果:眼专科医院中最常见的突发急症事件为药物不良反应(n=38,46.3%),其后依次是晕厥(28.0%)、心脑血管急症(8.3%)、意外事件(6.1%),其中药物不良反应涉及的相关药物最多见于荧光素钠注射液(n=16,42.1%)、局部神经阻滞麻醉相关药物(n=7,18.4%)。突发急症事件集中分布于工作时段8:00—18:00(n=74,91.3%),非工作时段多见于药物不良反应(n=3,42.9%)及心脑血管急症(n=3,42.9%)。门诊是突发急症事件最常发生的场所(n=53,64.6%),其后依次是住院病房(22.0%)、手术室(11.0%)。患者突发急症危急程度轻、中、重度分别占92.7%,4.9%,2.4%。50%的患者需要综合医院急诊人员配合抢救或至综合医院进一步诊治。结论:通过优化患者诊治流程,缩短在院时间,医护人员提高预警意识,明确各岗位潜在急症风险,可降低突发急症事件发生风险。发挥麻醉师专业优势,提高院内应急处理能力,同时签约定点综合医院急救服务,为患者提供快速、准确、高效的救护,保障患者生命安全。Objective:To analyze the status of medical emergencies of patients in ophthalmic hospitals and put forward suggestions on their prevention and control measures.Methods:The medical emergencies of 82 patients in ophthalmic hospitals in 2017 and 2018 was been analyzed retrospectively,and the characteristics and treatment of emergencies as well as the metastasis and progression of the disease in patients were analyzed specifically.Results:Medical emergencies were caused by druginduced adverse reaction(n=38,46.3%),syncope(28.0%),cardiovascular emergency(8.3%),accidents(6.1%)in sequence.Fluorescein sodium(n=16,42.1%)and local anesthesia drugs for nerve block(n=7,18.4%)were the most common drugs related to drug adverse reaction.Most cases happened at 8:00-18:00(n=74,91.3%),and drug adverse reaction and cardiovascular and cerebrovascular emergencies were most common at 18:00-8:00.Medical emergencies happened in outpatient department(n=53,64.6%),wards(22.0%)and operation rooms(11.0%).There were mild emergencies(92.7%),moderate emergencies(4.9%)and severe emergencies(2.4%)in patients.Among them,50%of patients need first aid by doctors from general hospitals or to be transferred to the general hospital for further treatment.Conclusion:Through optimizing process,shortening the hospital stay,identifying potential risks and enhancing medical workers’awareness of safety,the risk of medical emergencies can be reduced.We should give full play to the professional advantages of anesthesiologists,improve the emergency handling capacity of the hospital,and contract the emergency services of designated general hospitals to provide rapid,accurate and efficient rescue for patients to ensure the life safety of patients.

关 键 词：眼专科医院 突发急症 防控措施 

分 类 号：R77[医药卫生—眼科]