Analysis of 73 emergency visits in a university hospital in Beijing
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摘要:
目的 了解北京高校医院急诊出诊现状,为高校医院规范建设和制定急诊出诊工作措施提供依据。 方法 对某高校医院2020年9月—2022年12月共73例急诊出诊病例进行回顾性调查和分析。 结果 高校医院急诊出诊以抽搐症状最多,为17例(23.3%);其次是腹痛9例(12.3%)和头晕8例(11.0%)。急诊出诊中男性比例60.3%,女性39.7%。急诊出诊疾病谱排在前3位的是神经系统疾病(40例)、妇科疾病(7例)、抑郁症和酒精中毒(6例)。急诊出诊高峰在4,5,9和11月。出诊时间段以13:00—18:00最多(32.9%),其次是7:00—12:00(30.1%)。急诊出诊处理后,12例病情好转,54例转上级医院就诊,2例抑郁症患者接回家,5例拒绝转诊。 结论 高校医院应制定急诊出诊相关疾病应急预案,有针对性地对医生进行知识培训和师生的健康宣教,提高医院的急诊救治能力。 Abstract:Objective To understand the current situation regarding emergency visits to a university hospital in Beijing, and to provide a basis for the standardized construction and formulation of emergency visit measures to university hospitals. Methods This study carried out a retrospective investigation and analysis of 73 emergency visits from September 2020 to December 2022 at a university hospital in Beijing. Results A total of 17 cases(23.3%) exhibited the most common of symptoms associated with convulsions during emergency visits to university hospital, while nine cases of abdominal pain(12.3%) and eight cases of dizziness(11.0%) were recorded. The proportion of males and females who presented to the emergency department was 60.3% and 39.7%, respectively. The top three diseases among emergency department outpatients included nervous system diseases(40 cases), gynecological diseases(seven cases), depression and alcoholism(six cases). The peak number of emergency visits occurred in April, May, September and November. The most frequent emergency visits presented from 13:00 to 18:00(32.9%), followed by 7:00 to 12:00(30.1%). Following emergency care, 12 cases improved, 54 cases were transferred to higher-level hospitals for treatment, 2 depressive patients were taken home, 5 cases refused referral. Conclusion University hospitals should develop emergency plans for diseases related to emergency visits, provide targeted training for doctors and health education for teachers and students, and improve the emergency treatment capabilities. 1) 利益冲突声明 所有作者声明无利益冲突。 -
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