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目的:分析院前急救患者疾病类型结构、急救时间分布和急救中存在的不利因素,针对现状和不利因素提出解决方案。方法:回顾分析浙江省绍兴市人民医院2013年8月~2015年9月期间院前急救情况,共15250例,分析患者疾病类型及急救时间段分布,统计每次急救遇到的不利因素,结合以上情况提出解决对策。结果:院前急救主要为消化系统疾病、呼吸系统疾病、车祸伤等,其中车祸伤发生率最高;院前急救多在5:00~9:00及17:00~20:00点,发生率高达56.48%及11.75%,较其他时间段发生率高;院前急救院方不利因素主要为急救医师因素,呼叫方主要不利因素为病情或地址等传达模糊,其他因素主要为环境因素和交通因素。结论:院前急救多在凌晨及上下班高峰进行,患者病情危重,呼叫方信息传达不清晰,院方人员调动等准备不充分,对急救有较大影响,应积极整顿院前急救小组人员分配,加强管理,提高院前急救质量。
OBJECTIVE: To analyze the type of disease, the distribution of emergency time and the unfavorable factors in first aid before hospital emergency patients, and propose solutions to the current situation and unfavorable factors. Methods: A total of 15250 cases of prehospital emergency were collected from Shaoxing People’s Hospital of Zhejiang Province from August 2013 to September 2015. The types of patients and the distribution of first-aid time were analyzed. The unfavorable factors encountered in each emergency were analyzed. The above situation to solve the problem. Results: Prehospital first aid was mainly digestive diseases, respiratory diseases, traffic accident and so on, with the highest incidence of car accident injuries. The pre-hospital emergency was mostly between 5:00 and 9:00 and from 17:00 to 20:00, the incidence Up to 56.48% and 11.75%, respectively, which were higher than those in other time periods. The unfavorable factors of pre-hospital emergency hospital were mainly emergency physicians, and the main adverse factors of calling parties were vagueness of illness or address. Other factors were mainly environmental and traffic factors . Conclusions: Prehospital first aid mostly occurred in the early morning and rush hour. The patient was in critical condition, the caller’s information was not clearly communicated and the hospital staff were not mobilized adequately. It had a great impact on emergency treatment. , Strengthen management, improve the quality of pre-hospital emergency.