北京协和医院急诊缓和医疗会诊实践  

Practice of Palliative Care Consultation Proposed by the Emergency Department in Peking Union Medical College Hospital

作　　者：宁晓红 李佳颐 戴晓艳[2] 刘茜[2] 史迪[3] 赵小萱 李杰 王磊[5] 葛楠 曲璇 杜铁宽[2] 朱华栋[3] NING Xiaohong;LI Jiayi;DAI Xiaoyan;LIU Qian;SHI Di;ZHAO Xiaoxuan;LI Jie;WANG Lei;GE Nan;QU Xuan;DU Tiekuan;ZHU Huadong(Department of Geriatrics,PUMC Hospital,CAMS and PUMC,Beijing 100730,China;Department of International Medical Services,PUMC Hospital,CAMS and PUMC,Beijing 100730,China;Emergency Department,PUMC Hospital,CAMS and PUMC,Beijing 100730,China;Department of Information Management,PUMC Hospital,CAMS and PUMC,Beijing 100730,China;Department of Vascular Surgery,PUMC Hospital,CAMS and PUMC,Beijing 100730,China)

机构地区：[1]中国医学科学院,北京协和医学院,北京协和医院老年医学科,北京100730 [2]中国医学科学院,北京协和医学院,北京协和医院国际医疗部,北京100730 [3]中国医学科学院,北京协和医学院,北京协和医院急诊科,北京100730 [4]中国医学科学院,北京协和医学院,北京协和医院信息管理处,北京100730 [5]中国医学科学院,北京协和医学院,北京协和医院血管外科,北京100730

出　　处：《中国医学科学院学报》2022年第5期763-767,共5页Acta Academiae Medicinae Sinicae

摘　　要：目的对北京协和医院急诊科发起的缓和医疗会诊进行总结梳理。方法回顾性分析2017年1月至2020年6月北京协和医院急诊科提出的22次缓和医疗会诊资料。结果共18例患者接受缓和医疗会诊,其中,男6例,女12例,平均年龄(65±8)岁(36~88岁);10例患者会诊1次,6例患者会诊2次,2例患者未完成会诊;15例患者为恶性肿瘤,3例患者为非肿瘤性疾病。会诊原因中,61.1%(11/18)是关于沟通;61.1%(11/18)是减轻患者的痛苦症状。离世地点方面,8例在本院离世,6例在其他医疗机构离世。结论北京协和医院急诊对缓和医疗会诊存在明确需求,会诊能给急诊医患双方带来帮助。Objective To summarize the palliative care consultations proposed by the Emergency Department of Peking Union Medical College Hospital.Methods A retrospective study was conducted on 22 palliative care consultations in the Emergency Department of Peking Union Medical College Hospital from January 2017 to June 2020.Results A total of 18 patients(6 males and 12 females)received palliative care consultations in the Emergency Department,with the average age of(65±8)years(36-88 years).Specifically,10 and 6 patients received once and twice consultations,respectively,and 2 patients did not complete the consultation.Of the patients receiving palliative care consultations,15 had malignant tumors and 3 had non-neoplastic diseases.The reasons for palliative care consultations included communication(61.1%,11/18)and pain relief(61.1%,11/18).In terms of the place of death,8 patients died in the hospital and 6 patients in other medical institutions.Conclusion There is a clear demand for palliative care consultation in the Emergency Department of Peking Union Medical College Hospital,and the consultation can bring help to both emergency doctors and patients.

关 键 词：缓和医疗 会诊 急诊 综合医院 

分 类 号：R48[医药卫生—临床医学]