2 231例危急症抢救与影响因素分析

THE ANALYSIS OF THE EMERGENCY TREATMENT OF ACUTE AND CRITICAL DISEASES AND THE AFFECTING FACTORS IN 2 234 CASES

就2231例危急症抢救的例数、病种分布、就诊状况及院前救治、院内抢救及效果，危急症抢救影响因素进行分析。统计表明，内科以心血管系统危急症占多数，外科危急症以多发伤多见。111例呼吸心跳骤停者分别于意识丧失后10－40min来诊，8例CPR成功。2120例危急症在抢救中死亡33例。在抢救室救治时间为2—6h。认为就诊状况及院前救治、医护人员的业务素质、先进的医疗设备是救治效果的综合影响因素。其中岗前考核、岗位业务培训、高年资医师参加急诊医疗，制度落实等措施，对于保证院内抢救质量是非常重要的。

We analysed and reported the affecting factors of acute and critical diseases in 2 231 cases in recent two years according to their numbers of distribution, patients' conditions, and prehospital and hospital emergency treatment and the results in the emergency department of our hospital. It showed statistically that acute and critical cardiovascular diseases accounted for about 60 per cent in medical department, while there were more cases of multiple complicated injuries in surgical department. One hrndred and eleven cadiac arrest were sent to the hospital from 10 to 40 minutes after they became uncowciors. Among them, there were 8 cases of successful CPR. In 2 120patients with acute and critical diseases, 33 died during the emergency treatment and duration of treatment was from 2 to 6 hours. The comprehensive affecting factors were thought to be the patients' conditions, prehospital rescue and treatment, the professional ability of the doctors and nurses, and the advanced medical equipment. It is important for doctors to get prejob examination and on-the -job training as well as to have senior and experienced doctors participating in the emergency treatment and the carrying out of the rules in order to insure the quality of emergency treatment in the hospital.