军队医院急诊科5年危重病人回顾分析

Retrospective analysis of 5-year-time on critical patients in emergency department of military hospital

目的分析急诊重症病人的病谱特点,为加强急诊科建设及急诊医师的培养提供依据。方法回顾性分析我院急诊科5年中接诊2 310例危重病人的临床资料,从性别、年龄、病种等方面进行统计分析。结果心血管疾病、神经系统疾病、外伤、肿瘤及消化系统疾病分别为急诊危重症前5位。男女比为1.22∶1,平均年龄为55.65岁。死亡病人213例,占9.22%,死因顺位前3位是脑血管疾病、心血管疾病、恶性肿瘤。结论心脑血管疾病是院内急救的主要疾病,晚期癌症急诊量呈增加趋势且已成为急诊主要死因之一,根据危重病谱制定抢救预案,对提高急诊危重症抢救的成功率有一定意义。

Objective To analyse the characteristics of disease score of the critical patients for strengthening the emergency department and improving the training of the emergency physicians. Methods The data of 2 310 cases of emergency patients in five years were analysed retrospectively. Statistically analyze was done by gender, age and disease score. Results The five leading diseases were cardiovascular diseases, nervous system diseases, injuries, tumors and digestive system diseases respectively. The ratio of male and female was 1.22： 1 ,the average age was 55.65. Mortality rate was 9.22% （213/2 310）. The first three in the death cause chart were cerebralvascular diseases, cardiovascular diseases and malignant tumor. Conclusion Cardiovascular diseases are still leading diseases and advanced cancer has become one of the major causes of death in emergency department. It is necessary to increase rescuing critical patient efficiency by formulating previous plan with critical disease score.