医院内非急诊区域急症患者的临床特点与救治(附163例报道)

Clinical features and treatment of the emergency patients in non-emergency district of the hospital——report of 163 cases

目的探讨医院内非急诊区域急症患者的临床特点与救治。方法对2004-11～2007-11在我院非急诊区域内突发急症的163例患者进行回顾性分析。结果163例突发急症患者常见病因为药物不良反应、急性心肌梗死、心脏病和癫痫;常见发病地点为心电图室、门诊挂号大厅和门诊输液室;60岁以上以心血管疾病多见,而60岁以下常见疾病为癫痫;163例中161例经急诊外出分队及时抢救,病情稳定,救治成功率为98·8%;2例死亡。结论熟悉医院内非急诊区域急症患者的临床发病特点,不但有助于急诊科医生早期诊断和治疗,还可提高救治成功率。

Objective To investigate the clinical features and treatment of the emergency patients in non - emergency district of hospital. Method To review and analyze the treatment of 163 emergency cases of sudden onset in non - emergency district of our hospital from November 2004 to November 2007. Result The main causes of 163 emergency cases included adverse drug reaction, acute myocardial infarction, heart disease and epilepsy. The common invasion places were ECG room, registration parlor and outpatient infusion room. The common cause of the patients more than 60 years old was cardiovascular disease, and the causes of the younger patients usually were epilepsy. 161 cases were successfully rescued by our emergency team, 2 cases died, the successful rate was 98.8%. Conclusion To have an intimate knowledge of the clinical invasion features of these special emergency cases is not only helpful for the doctors of the emergency department to make primary diagnosis and treat them promptly, but also for rising the successful rate.