82598例急诊患者疾病分类调查

Investigation into the classification of diseases contracted by 82 598 emergency cases

目的 了解急诊科患者的疾病分类。方法 对我院 82 5 98份急诊病案进行了回顾性调查分析。结果 损伤和中毒、呼吸系统疾病、消化系统疾病是急诊科的前三位疾病 ;急诊病人男性多于女性 ;急诊患者全天就诊量与时间呈“驼峰”型分布 ,19～ 2 1时为全天最高峰 ;急诊病人平均年龄 41 5岁 ,16类疾病均以 19～ 35岁年龄组病人为最多。结论 ①要根据急诊病人的疾病谱确定急诊科的技术建设重点和人才培养方向 ;②要重视男性健康和安全防范教育 ;③要充分认识到提高急诊科的救治水平对人类健康有重大意义 ;④要根据急诊病人的就诊高峰时间 ,科学合理地安排工作。

Objective To find out the classification of diseases contracted by patients of the emergency department.Methods A retrospective investigation and analysis was made of the medical records of 82 598 emergency cases in our hospital. Results Injury and poisoning, respiratory disease, and disease of digestive system were the first three kinds of disease treated by the emergency department; male emergency cases outnumbered female ones; the volume and visiting hours of emergency cases in a typical day take the shape of humps, with 19 to 21 hours being the climax; the ages of emergency cases averaged 41.5, with patients of the age group running from 19 to 35 being the largest in number in 16 kinds of disease. Conclusion ①It is imperative to determine the priorities of technology construction and the orientation of talent cultivation in the emergency department according to the disease spectrum of emergency cases. ②It is necessary to attach importance to the education of males in health, safely and precautions. ③It is essential to fully recognize the great significance that enhancement of the expertise of the emergency department carries with regard to the health of the population. ④It is important to rationally plan work in accordance with the rush hours of emergency cases's visits.