多媒体远程会诊在医联体儿科疾病诊治中的应用与探讨

Application and Discussion of Multimedia Tele-Consultation in the Diagnosis and Treatment of Pediatric Diseases in Hospital Health Alliance

目的探讨远程会诊在基层医院儿科的应用价值。方法收集我院2018年7月至2022年3月开展的167例远程会诊病例,对病例资料进行回顾性调查并统计分析。结果会诊患儿中危重病例87例(52.1%),极危重病例24(14.4%),疑难病例48例(28.7%),一般病例8例(4.8%)。采用远程视频会诊的病例有144例(86.2%),采用远程机器人床边会诊的病例有23例(13.8%)。会诊后患者治愈或好转出院的154例(92.2%),转上级医院进一步诊治的9例(5.4%),因疾病死亡或者家属放弃治疗的4例(2.4%)。结论远程会诊方式多样化有利于会诊质量的提高,实现危重疑难患儿属地治疗,推动儿科医联体建设。

Objective To explore the application value of tele-consultation in pediatrics in grass-roots hospitals.Methods 167 cases of tele-consultation carried out in our hospital from July 2018 to March 2022 were collected,and the case data were retrospectively investigated and statistically analyzed.Results Among these cases,87(52.1%)were critical cases,24(14.4%)were extremely critical cases,48(28.7%)were difficult cases,and 8(4.8%)were general cases.144 cases(86.2%)used remote video consultation,and 23 cases(13.8%)used remote robot bedside consultation.After the consultation,154 patients(92.2%)were cured or improved and discharged,9 patients(5.4%)were transferred to superior hospitals for further treatment,and 4 patients(2.4%)died of disease or their families gave up treatment.Conclusion The variety of tele-consultation methods was conducive to improving the quality of consultation,realizing the local treatment of critically ill and difficult diseases of children,and promoting the construction of pediatric hospital health alliance.