自主型模式急诊科的功能与管理

Function and Management of Inclusive Emergency Department

目的探讨自主型模式急诊科的功能和管理。方法回顾性分析我院急救中心2002年1月至2003年12月的临床资料,急诊出车3284次,急诊门诊接诊48350例次,急诊抢救660例,收住急诊病房1896例,收住其它专科病房3998例,急诊病房住院病人手术592例,其中危重病人手术54例。结果距医院5公里以内的出诊,10分钟以内可到达现场,经现场急救后,转运途中无死亡,急诊抢救成功率92%;一般手术无死亡,危重病手术死亡7例,死亡率13%。结论自主型模式急诊科集院前急救、院内急救、确定性急诊手术、重症监护治疗为一体,有利于急救程序的管理,明显提高了危重病抢救成功率,同时也培养和发展了一支急诊医学队伍。

Objective To investigate the function and management of inclusive emergency department.Methods Clinic material of our emergency center from January,2002 to December,2003 were reviewed.3 284 times of ambulance were departure for the prehospital care,48 350 cases visited the emergency center,660 cases were first aid,1 896 cases were admit to emergency center,3 998 cases were admit to other special department of our hospital,592 cases were performed definitive operation in emergency center,among them 54 severs cases were operated on.Results The ambulance could arrive to the scene within 10 minutes if the distance in 5 kilometers.There were no death during the transport from the scene to the emergency center,success resuscitation rate was 92%;There was no death of general emergency operations,7 died after operation in 54 severe cases,morbidity was 13%.Conclusion Inclusive emergency department integrate prehospital care,resuscitation at emergency center,definitive operation and critical care.This kind of management for the procedure of critical care,the success resuscitation rate is significantly high of the critical patients,the emergency medical team were trained and development.