目的通过对旅行者急重症的临床研究,探讨行之有效的医疗救助办法。方法对日照1996年1月至2005年6月期间接诊的旅行者急重症的临床诊断、急救处理分析研究。结果根据旅行者的病种类型,分别采用了本院普通治疗、隔离治疗、联合会诊和转院手术治疗。43例旅行者急重症除3例确诊、病情稳定后回本国治疗外,其余40例全部在当地治愈。经过顺利,效果满意。结论旅行者急重症涉及内、外、妇、儿科等,学科广泛,病种复杂,病情表现多样化。接诊医师应具有各种有关疾病鉴别诊断的知识,熟练掌握临床急救的工作方法,同时具有较高的外语水平。国际旅行卫生保健中心应加强医疗救助的规划和建设,加强与当地医疗机构的协作与配合,落实联合会诊,建立转院制度,以应付日益增多的复杂紧急病症,从而为旅行者提供优质的医疗保健服务。 Objective To explore the effective medical assistance methods through the clinical research on travelers’ critical illness. Methods The clinical diagnosis and emergency treatment of travelers who suffered from admissions during the period from January 1996 to June 2005 were analyzed. Results According to the types of travelers, we used general hospital treatment, isolation treatment, combined consultation and transfer surgery respectively. Forty-three travelers with severe illness were diagnosed in 3 cases and returned to their home countries after their condition was stable. All 40 cases were locally cured. After a smooth, satisfactory results. Conclusions Travelers are involved in acute and critical illness, including internal and external gynecology, pediatrics and so on. They have a wide range of subjects, complicated diseases and diversified manifestations. Admissions physicians should have a variety of knowledge about the differential diagnosis of diseases, proficiency in clinical first aid methods of work, at the same time have a high level of foreign languages. International Travel Health Care Center should step up the planning and construction of medical assistance, strengthen collaboration and coordination with local medical institutions, implement joint consultation and establish a transfer system to cope with the increasing number of complex emergency conditions so as to provide travelers with quality health care service.