633例急性主动脉夹层患者就诊规律分析及管理启示

Analysis of emergency visiting of 633 patients with acute aortic dissection and its implications for management

目的分析急性主动脉夹层患者的急诊就诊规律,为提高该病管理水平提供依据。方法对我科2016年1月-2018年12月收治的633例急性主动脉夹层患者的临床资料进行回顾性调查,分析患者的一般资料、就诊时间、类型、去向等信息。结果急性主动脉夹层患者以中老年男性为主,平均发病年龄为(56.53±12.19)岁;男女病例之比为3.65∶1;发病高峰在10月-次年4月,占75.51%。24 h的急诊就诊高峰期为12∶00-24∶00。结论应根据急性主动脉夹层患者的年龄、性别、发病高峰季节和日就诊规律,科学合理的制定绿色通道管理制度、依托社区的健康教育举措、护理人力资源调配和业务培训方案。

Objective To analyze the characteristics of emergency visiting of patients with acute aortic dissection,so as to provide a reference for the later management.Methods Totally 633 patients with acute aortic dissection treated in emergency department in 2016 and the following 2 years were analyzed retrospectively.Their general information,visiting time,disease classification and prognosis were recorded.Results Patients with acute aortic dissection were mainly middle-aged or older men,with an average age of(56.53±12.19).The number of male patients was 3.65 times that of female patients.The peak time of the disease was from October to April of the next year(75.51%).In a day of 24 hours,the peak time of patient visiting was from 12PM to 0AM.Conclusion It is suggested to develop emergency green channel and a healthy education plan for patients with acute aortic dissection considering the above conditions.