105例急腹症病人预检分诊失误临床分析

Clinical Analysis of Lapsus in Pre-examination Triage of 105 Surgical Abdomen

目的降低急腹症预检分诊失误率。方法回顾性分析105例急腹症预检分诊失误病例的临床资料。结果内外科之间急腹症的分诊失误病例数占分诊失误病例总数的80%;不同护龄、不同学历分诊护士急腹症分诊失误率比较均有显著性差异(P<0.01);分诊护士的护龄、学历是分诊失误的影响因素。结论提高急诊分诊护士临床分诊经验及专业理论水平,全面收集病史资料可有效降低急腹症患者分诊失误率。

Objective To decrease the lapsus rate of pre-examination triage of surgical abdomen. Methods A retrospective analysis was performed studying the clinical data of pre-examination triage of 105 surgical abdomen. Results The lapsuses in pre-examination triage of surgical abdomen in internal medical departments and surgical departments took up 80% of total number. There were significant differences between different years of nursing work and between different nursing education levels （P〈0.01）, indicating years of nursing work and nursing education level were the influential factors of triage lapsus. Conclusion Improvement of clinical experience and professional theoretical level and full collection of history data can decrease the lapsus rate in pre-examination triage of surgical abdomen.