469例急诊留观酒精中毒患者就诊特点分析及对策

Characteristics Analysis of 469 Cases of Alcoholism Patients in Emergency Department and Relevant Countermeasures

目的总结分析急诊观察室急性酒精中毒患者就诊特点,并且结合我们实际工作进行经验总结和对策分析。方法选择笔者所在医院2012年3月1日至2013年2月28日急诊观察室输液治疗的469例急性酒精中毒患者,记录其性别、年龄、临床表现以及在院时间等信息,根据患者酒精中毒程度进行了分级观察,进行回顾性统计分析。结果 469例急性酒精中毒患者就诊以20:00至凌晨4:00较多,在月份上以夏季和年末较多。根据临床表现划分其酒精中毒程度,重度中毒患者在院治疗时间最长达到(12.17±3.4)小时,需要提供一级护理。结论急性酒精中毒患者在就诊的时间和季节上具有一定的规律;针对好斗和激惹患者要做好患者和护理人员人身安全保障。

Objective To summarize and analyze the characteristics of 469 cases of alcoholism patients in emergency department, and conduct experience summary and countermeasures analysis combined with our daily works. Method 469 cases of alcoholism pa- tients in emergency department who received transfusion treatment in our hospital from March 1st 2012 to February 28th 2013 were made classification observation and retrospective analysis according to their alcoholism degree, and recorded their information such as gender, age, clinical features and hospitalized time and so on. Result The admitted time of alcoholism patients was more usual be- tween 8 pm and 4 am, as well as in summer and the end of the year. The alcoholism patients were divided according to their clinical features, the longest stay time of serious patients was （12.77 ＋ 3.4） hours which shows first degree nursing was necessary. Conclu- sion The admitted time or seasons of alcoholism patients in emergency department had certain characteristics, and to aggressive or an- gry patients, we should do well＇in the safety assurance of both patients and the nursing staff.