消化科危急值报告分析与护理

Analysis and nursing of critical value in digestive department

目的分析消化科常见检验危急值，探讨危急值的护理管理方法。方法收集并分析2015年1—12月笔者所在医院消化科的检验危急值报告结果，总结并分析护理及管理方法。结果危急值发生共479例次，发生率较高的项目依次为凝血功能异常（54.28%）、血钾异常（10.86%）、白细胞计数异常（6.68%）、血糖异常（5.22%）和低钠（3.76%）。根据危急值报告结果对其发生的原因及相应治疗护理进行分析，制定了相应的医疗护理方案和流程。结论通过分析消化科常见检验危急值，制定了相应的医疗护理方案和流程，优化了护理管理方法，使危急值的护理在积累经验和持续改进中更好地发展。

Objective To analyze the common critical value reports of digestive department, and explore the nursing management strategies of critical value. Methods We collect and analyze the critical value reports of digestive department from January to December 2015. Nursing method and management methods were concluded and analyzed. Results There were 479 cases of critical value reports in all. The items with higher incidence rate were ： dysfunction of coagulation （ 54.28% ）, abnormal blood potassium （ 10.86%）, abnormal white blood cell count （6.68%）, abnormal blood glucose （5.22%） and low blood sodium （3.76%）. According to the result of critical value reports, the reasons of the occurrence and the corresponding treatment and nursing were analyzed and summarized. Conclusions Through the analysis of common critical values in digestive department, corresponding medical and nursing plans and processes are formulated and the nursing management method are optimized. Nursing of critical value will develop well in the accumulation of experience and continuous improvement.