696例急診科搶救室危重病例的流行病學特點分析

Analysis of epidemiological characteristics of 696 cases in the emergency department resuscitation room

目的研究急診科搶救室危重病例的流行病學特點,為本院提高急診對危重病例的搶救水平,科室的建設和人員的培訓提供依據。方法對2014年4月~2015年3月間本院急診搶救室的696例危重病例的性別、年齡、主要症狀、主要診斷和關鍵搶救措施等資料進行回顧性描述性研究。結果循環系統、神經系統和呼吸系統疾病是急診搶救室危重病例的前3位。男性多於女性。中老年病例佔80%以上。急性心肌梗死和急性腦血管意外病例最為突出。結論心腦血管疾病和呼吸系統疾病的救治可作為科室建設和發展的重點,專業學習和培訓的方向;建立和完善院內多學科合作團隊,提高搶救成功率;加強相關疾病和急救常識的宣教。

Objective To determine the epidemiological characteristics of patients requiring resuscitation room(RM)management in the Emergency Department of Kiang Wu Hospital,Macao,so as to help improve the management effectiveness and define future service development and staff training needs of the department.Methods A retrospective descriptive study of 696 RM cases between April 2014 and March 2015,including their gender,age,chief complaints,diagnoses and treatment was conducted.Results The three leading systemic disorders are circulatory system,nervous system and respirator system.There were more male patients,and more than 80%are above the age of 40.Myocardial infarction and acute stroke were the two most frequent diagnoses.Conclusion The management of circulatory and respiratory system disorders should be the priority for service planning and staff training of the Emergency Department of Kiang Wu Hospital,Macao.Strengthening of multidisciplinary cooperation among clinical teams is of paramount importance for improving resuscitation success rate of RM patients.