急诊绿色通道诊治上消化道出血275例临床及费用分析  

A cost-effectiveness analysis of emergence green channel in 275 cases with upper gastrointestinal hemorrhage

作　　者：张黎明[1] 肖文斌[1] 朱继红[2] 倪鹏燕[1] 朱元民[1] 何晋德[1] 刘玉兰[1] 

机构地区：[1]北京大学人民医院消化科,100044 [2]北京大学人民医院急诊科,100044

出　　处：《临床内科杂志》2004年第3期186-188,共3页Journal of Clinical Internal Medicine

摘　　要：目的　评估急诊绿色通道诊治上消化道出血的临床及经济效益。方法　选取我院2 0 0 1年 2月～ 2 0 0 2年 11月经急诊绿色通道诊治的上消化道出血患者 2 75例 ,统计出血病因、病变检出率、各不同时间段病变检出率、治疗效果和患者平均留观住院天数及住院治疗费用 ,并将治疗效果、患者平均留观住院天数及住院治疗费用与 2 0 0 0年绿色通道未建立前作比较。结果及结论　急诊内镜检查时间越早 ,病变检出率越高 ,尤其是对急性胃粘膜病变等粘膜浅表病变的检出率。绿色通道可以保证急诊内镜安全、有效的进行 。Objective To assess the clinical and economic advantage of emergency medical service for upper gastrointestinal hemorrhage.Methods The data of 275 patients with upper gastrointestinal hemorrhage who underwent emergency medical service from February 2001 to November 2002 were retrospectively analyzed.The detective rate of pathogeny,therapeutic effect,duration and cost in hospital were compared with those before establishment of emergency medical service.Results and conclusion The earlier the patients underwent emergency gastroendoscopy,the higher detective rate we can acquire is.The emergency medical service can make sure the emergency gastroendoscopy process safety,rapidity and efficiency,and also decrease the duration and cost in hospital.

关 键 词：上消化道出血 急诊绿色通道 胃镜 

分 类 号：R573.2[医药卫生—消化系统]