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目的:分析我院2014年急诊重症监护病房(EICU)疾病构成,为科学规划我院EICU用药及医疗资源配置提供基线数据。方法:回顾性分析我院2014年633例EICU患者的年龄与性别构成、系统疾病构成、平均住院日、人均总费用与药占比、疾病转归、前8单病种的性别构成及年就诊规律。结果:1EICU患者主要集中在19~74岁,男性患者多于女性患者;2损伤、中毒和外因的某些其他后果位列EICU主要系统疾病构成第1,循环系统疾病、消化系统疾病及呼吸系统疾病分列第2、3和4;3EICU平均住院天数为4.3d,人均总费用为6316.80元,药占比为50.09%;4转归:专科病房(35.07%)、急诊普通病房(22.91%)、出院(18.96%)、死亡(15.32%)、中心ICU(5.53%)、转院(2.21%);5前8位单病种依次为蛇咬伤、中毒、多发性创伤、冠心病、慢性阻塞性肺疾病(COPD)、其次为上消化道出血、酮症酸中毒及急性胰腺炎,蛇咬伤具有明显的年就诊规律。结论:中毒、蛇咬伤与慢病急危重症为我院EICU主要疾病构成;患者病死率较高,需加强急诊人才培训与急救设备配置,提高救治水平。
Objective: To analyze the composition of EICU in our hospital in 2014 and provide baseline data for the scientific planning of EICU medication and medical resources allocation in our hospital. Methods: A retrospective analysis of 633 cases of EICU in our hospital in 2014, age and sex, composition of the disease, the average length of stay, the total cost of per capita and the proportion of drugs, the outcome of the disease, the sex composition of the first 8 single disease and the annual treatment law. Results: 1EICU patients were predominantly 19-74 years old and had more males than females.2 Other consequences of injury, poisoning, and exogenous factors were listed in Major EICU System Constitutions, 1 Circulatory System Diseases, Digestive System Diseases, and Respiratory System 3, 3, 4; 3EICU average hospitalization days was 4.3d, the total per capita cost was 6316.80 yuan, medicine accounted for 50.09%; 4 outcome: specialist ward (35.07%), emergency ward (22.91% , Hospital discharge (18.96%), death (15.32%), center ICU (5.53%) and hospital transfer (2.21%). The top 8 single disease were snakebite, poisoning, multiple trauma, coronary heart disease, Obstructive pulmonary disease (COPD), followed by upper gastrointestinal bleeding, ketoacidosis and acute pancreatitis, snake bites have obvious annual treatment. Conclusion: Poisoning, snakebite and chronic illnesses are the major diseases of EICU in our hospital. The patient mortality is high. The training of emergency personnel and emergency equipment should be strengthened to improve the treatment level.