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调查与结果1.从本资料调查结果,1984年急症就诊率为7.6%,1987年为8.4%。1987年的死亡率为6.1%。2.24小时急症总人数,每4小时分成一组统计,老年人在傍晚就诊率为50%,与青年人比较,在统计学上有显著差异。3.急症主诉序列调查结果,在老年人以心血管为首,发热次之,外伤居三,等等。其中晕倒、尿失禁、哮喘及癌肿的就诊人数与青年组比较,经统计学处理有明显差异。讨论1.本院1950-1987年37年间,老年人住院率从1950年的1.98%增至1979年的13.38%。本组急症就诊率从1984年的7.6%增至1987年的8.4%。因此老年人的急症问题显得十分重要和迫切。2.本组资料表明,老年人主诉以心血管病为首,外伤居第三。而Dove氏报道外伤为首,心血管病居第二位。癌肿、哮喘、尿失禁及晕倒,在青老年两组中比较,统计学上有显著差异,由于这些疾病的预后均为不良,因此,需要认识急症中的特殊问题。3.老年人急症高峰在傍晚有50%。老年入对疼痛、发热的感觉很差。高龄老人更易跌倒,而其家庭成员均在工作,白天无能力照顾老人。4.建议:加强老年医学的急症课的学习。
Survey and Results 1. From the data findings, the emergency attendance rate was 7.6% in 1984 and 8.4% in 1987. The 1987 death rate was 6.1%. 2.24 hours total number of emergency, divided into a group of statistics every 4 hours, the elderly in the evening visiting rate was 50%, compared with young people, statistically significant differences. 3. Emergency chief complaint sequence survey results in the elderly led by cardiovascular, fever, followed by trauma Habitat, and so on. Among them, fainting, incontinence, asthma and cancer were significantly different from those in youth group. Discussion 1. Our hospitalization rate for the elderly in the 37-year period from 1950 to 1987 increased from 1.98% in 1950 to 13.38% in 1979. The rate of emergency attendance in this group increased from 7.6% in 1984 to 8.4% in 1987. Therefore, the emergency of the elderly appears to be very important and urgent. 2. This group of data shows that the elderly complained of cardiovascular disease led the first in trauma ranks third. Dove reported trauma led, cardiovascular disease in second place. Cancer, asthma, urinary incontinence, and fainting were statistically significant differences between the two groups. Because of the poor prognosis of these diseases, special problems in acute and acute illness need to be known. 3. Elderly emergency peak in the evening 50%. Elderly people into the pain, fever feeling very poor. Older seniors are more likely to fall and their family members are at work, unable to take care of the elderly during the day. 4. Recommendation: Strengthen the study of emergency medicine in geriatrics.