2634例内科急救病例分析

An analysis on 2634 patients in department of emergency internal medicine

目的：统计分析急诊内科抢救病例,为本地区急诊急救工作的合理安排和科学管理以及医务防治重点等方面提供客观依据。方法：对1998-2001年我院急诊内科收治的2634例急救患者的临床资料进行回顾性分析,统计分析不同年份、不同年龄段、不同季节的病种分布及急性中毒患者的病因及年龄、性别分布。结果：1998年急救人数870例,占33.0%,高于其它年份;急救好发年龄为61-70岁,占22.9%;春、冬季发病较多,分别占26.0%、31.5%,高于夏、秋季（20.1%、22.4%）;1998-2001年急救患者的病种以心血管疾病、脑血管疾病、急性中毒较为常见,急性中毒患者469例,其中服用安眠药占40.9%,8-40岁的青年发病较多,其中女性占55.4%。结论：不同年龄、不同性别、不同季节急救患者的病种分布不同,老年和心脑血管疾病患者应作为医疗防治重点。

Objective： To analyze 2 634 patients who accepted emergency first aid in order to obstain objective proofs on the rationalization and scientific management of the emergency first aid and emphasis of emergency center. Methods： All 2 634 patients underwent emergency first aid from January 1998 to Dece ber 2001 in emergency department were analyzed retrospectively in etiology and incidence yearly. The in- formation of years, ages, seasons were recorded. Results： In 1998, 870 patients （33%） underwent emer- gency first aid, This year had the most patients. The incidences of 61-70 years old were significantly higher than that of other ages. The incidence in spring and winter was significantly higher than that of summer and autumn. In emergency center, cardiovascular disease, cerebrovascular disease and acute poisoning were common diseases. Conclusion： Differential disease categories were related to differential ages, sex, seasons. In older patients, cardiovascular and cerebrovascular disease should be topic preventional and treatmental tasks of emergency department.