某市三级甲等医院重大节假日急诊就诊情况分析

THE EMERGENCY ATTENDANCE IN ONE TERTIARY FIRST-CLASS HOSPITAL ON MAJOR PUBLIC HOLIDAYS

[目的]对某市重大节假日急诊就诊情况进行分析,为有关部门决策提供科学依据。[方法]通过对2000～2005年重大节假日期间急诊就诊登记的22014例资料进行分析,揭示发病的年龄、性别和昼夜时间的分布规律以及疾病构成梯次。[结果]急诊就诊的男性病例普遍多于女性,并且10岁以下年龄组就诊人数居多;其中,发热、外伤及腹痛是最为常见的就诊原因;每日的午后至凌晨存在"驼峰型"分布的就诊高峰期。[结论]探讨重大节假日期间急诊就诊情况,有助于急诊工作的改进,合理调配卫生资源。

[ Objective ] To study the emergency attendance in one tertiary first- class hospital on major public holidays for providing a scientific basis for relevant departments in decision making. [Methods] The analysis of 22 014 emergency eases registered during the major public holidays form 2000 to 2005 revealed the age, sex, day and night distribution of incidences and an echelon pattern of disease occurrence. [ Results ] Male cases typically outnumbered female ones; those below the age of 10 years accounted for the majority of the attendances; fever, trauma and abdominal pains were the most common reasons for attending emergency care; a hump distribution of attendance peaks occurred from every afternoon to midnight. [Conclusion] Such a study on emergency attendance during major holidays is conducive to improve emergency care services and reasonable allocation of health resources.