综合医院全科病房危急值分析

Analysis of critical value of general ward in general hospital

目的分析综合医院全科病房常见危急值情况。方法选取2018年1月至2019年12月嘉兴市第二医院全科病房收治且报告危急值的患者为研究对象。收集患者基本信息与临床资料,如疾病分类、危急值报告分类与频次等并进行分析。结果按每人每种病被诊断1次为1人次计算,3390人次住院患者中,全科病房危急值报告共372人次,占比为10.97%。疾病分类中,因呼吸系统疾病、消化系统疾病、心血管系统疾病、神经系统疾病、泌尿系统疾病就诊人次数分别为123人次(33.06%)、55人次(14.78%)、35人次(9.41%)、25人次(6.72%)、9人次(2.42%)。其中,呼吸系统疾病主要包括肺部感染和慢性阻塞肺疾病,消化系统疾病主要包括结肠炎、胃炎和消化道出血,心血管系统疾病主要包括心力衰竭、心功能不全和高血压疾病,泌尿系统疾病主要包括泌尿道感染和慢性肾功能衰竭,神经系统疾病主要包括脑血管病和眩晕综合征。危急值报告中,血钾异常、菌培养异常、血糖异常是出现频次最多的,依次为140人次(37.63%)、64人次(17.20%)、57人次(15.32%)。结论综合医院全科病房危急值不少见。全科病房收治病人时尤其老年人应时刻警惕电解质、血气分析、血糖等常见指标出现异常。

Objective To analyze the common critical value of general ward in general hospital.Methods The pa⁃tients who were admitted to the general ward of Jiaxing second hospital from January 2018 to December 2019 and reported critical values were selected as the subjects.Basic information and clinical data were collected and ana⁃lyzed,such as disease classification,critical value report classification and frequency.Results In 3390 inpatients,the proportion of critical value reported cases in general wards was 10.97%.In the disease classification,the number of visits for respiratory disease,digestive system disease,cardiovascular system disease,nervous system disease and urinary system disease were 123(33.06%),55(14.78%),35(9.41%),25(6.72%),and 9(2.42%)respective⁃ly.Among them,respiratory diseases mainly include pulmonary infection and chronic obstructive pulmonary disease,digestive system diseases mainly include colitis,gastritis and gastrointestinal bleeding,cardiovascular diseases mainly include heart failure,heart failure and hypertension,urinary system diseases mainly include urinary tract infection and chronic renal failure,The main nervous system diseases included cerebrovascular disease and vertigo syndrome.Among the critical value reports,abnormal blood potassium,bacterial culture and blood glucose were the most fre⁃quent,which were 140 times(37.63%),64 times(17.20%)and 57 times(15.32%)Conclusion The critical value is common occurred in general ward.When the patients are admitted to the general ward,especially the elderly,we should pay more attention to their abnormalities of electrolyte,blood gas analysis,blood glucose.