维和二级医院的病例特征分析

Disease characteristics of the patients in level-Ⅱ hospital for peacekeepers

目的:总结、分析中国赴利比里亚维和二级医院门诊及住院患者的疾病特征,为后续分队的组训及进一步做好维和卫勤保障工作提供依据。方法:查阅2004年5月18日至2005年12月31日期间门诊及住院患者病历资料,并进行统计分析。结果:中国驻利比里亚绥德鲁地区维和二级医院共诊治门诊患者7 107例。门诊以内科疾病最居多,占35.7%,外科、口腔科、皮肤科及以疟疾为主的传染科疾病也较多,分别占17.0%、16.0%、11.1%和10.7%;疟疾是主要传染病,占传染病总数的86.1%;诊治获得性免疫缺陷综合征(AIDS)患者及无症状人类免疫缺陷病毒(HIV)感染者39例。共收治住院患者453例,平均住院时间为5.2 d。住院患者以传染病(占51.4%)和内科疾病(占36.7%)最多,其中疟疾占住院总数的40.8%。结论:根据利比里亚维和任务区的疾病特征,充分准备维和任务区内常见病及特殊疾病的防治药物和器材;国内组训阶段应着重做好维和任务区的常见病、多发病防治,特别是AIDS的诊断和防护训练。

Objective：To summarize and analyze the disease characteristics of the patients in Chinese Level-Ⅱ Hospital for UN Peacekeepers in Liberia, for offering some references to the pre-mission training of the successive contingents as well as the improvement of medical support to the peacekeeping mission. Methods：A statistical analysis was made of the case history of all the outpatients and inpatients received in Chinese Level-Ⅱ Hospital for UN Peacekeepers in Liberia from May 2004 to December 2005. Resuits ： Out of the total of 7 107 outpatients, 2 539 （35.7%） were medical cases, 1 205 （ 17.0% ） surgical, 1 136 （ 16.0% ） dental, 787 （ 11.1% ） dermatological and 763 （ 10.7% ） contagious cases. Malaria was the main type of contagious disease, which accounted for 86. 1% of all the contagious cases. There were 39 cases of AIDS/HIV （ acquired immunodeficiency syndrome / human immunodeficiency virus）. Of the 453 inpatients, 233 （51.4%） were contagious and 166 （36.7%） medical cases, and 185 （40.8%） of the total number suffered from malaria. The average hospital stay was 5.2 days. Conclusion：Adequate drugs and equipments should be prepared for both common and special diseases in the peacekeeping mission area. During the pre-mission training at home, special emphasis should be laid on the prevention and treatment of common diseases and frequently occurring diseases, particularly on the diagnosis of and protection against AIDS.