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目的:探讨急诊外科中疾病谱的构成特点。方法:对我院近五年急诊外科的病例资料进行回顾性分析,总结就诊病例在性别、就诊时间、疾病类别还有疾病原因上的发病特点。结果:在这5年中我院急诊外科共接诊42356名患者,男性患者居多,男女患者的比例为2.2:1,且患者的就诊例数成逐年递增的趋势;每天的8点~12点是患者集中就诊的时间,在对发病月份的分析中,5~10月就诊患者最多;在对疾病类别的分析中,消化系统疾病较多,在这类疾病中,急性阑尾炎,胆囊结石伴急性阑尾炎,还有肠梗阻排在前3位;在对疾病病因的分析中创伤性疾病最多,其中意外伤害、交通事故还有工伤位于创伤中的前3位。结论:根据上述总结的急诊外科疾病谱的特点,能够帮助我院制定科学的就医流程,为医院进行科学管理提供了科学依据。
Objective: To investigate the characteristics of disease spectrum in emergency surgery. Methods: A retrospective analysis was made on the case data of emergency surgery in our hospital in the past five years, and the incidence characteristics of the cases were analyzed in terms of gender, time of visit, disease types and causes of diseases. Results: During the five years, 42,356 patients were admitted to emergency department in our hospital. The majority of male patients were male and female, with a ratio of 2.2: 1. The number of patients treated increased year by year. From 8:00 to 12:00 every day, Is the time of concentrated treatment of patients, in the analysis of the onset of the month, 5 to 10 months the largest number of patients; in the analysis of disease categories, more digestive diseases, in these diseases, acute appendicitis, gallstone with acute Appendicitis, and intestinal obstruction ranked in the top three; in the analysis of the cause of the disease traumatic diseases most, including accidental injuries, traffic accidents and trauma in the top three trauma. Conclusion: Based on the above summary of the characteristics of the emergency surgical disease spectrum, it can help our hospital formulate a scientific medical procedure and provide a scientific basis for the scientific management of the hospital.