儿童皮肤科护士皮疹分诊识别状况调查

目的总结儿童皮疹的分诊识别经验，探讨提高皮疹分诊识别率的方法。方法收集本院皮肤科门诊419例以皮疹就诊的患儿门诊资料，对其皮疹的特点、伴随症状、医生诊断以及分诊识别状况进行分析。结果419例中，分诊判断与医生诊断符合319例，分诊识别率为76．13％。其中确诊为变态反应性皮肤病识别率为82．4％，确诊为病毒和细菌感染性疾病识别率为66．3％。分诊识别率排前5位的疾病依次为：湿疹，急性荨麻疹，药物疹，水痘，手足口病。结论儿童皮疹可见于多种疾病，分诊护士应仔细观察皮疹的表现与特点，了解伴随症状，防止错误分诊。

Investigation on accuracy of triage of the pediatric patients with rash

Objective To summarize the experience of identifying rash of the pediatric patients and improve the recognition rate of rash.Methods A total of 419 pediatric outpatients with rash were recruited.The characteristics of rash,accompanying symptoms,doctors diagnose and the status of identify triage wereanalyzed.Results The average accuracy of triage of rash Was 76.13%.11le accuracy of triage of rash in allersic skin diseases was 82.4% and in viral or bacterial infectious disases was 66.3%.The top five triage diseases were eczenma,acute urticaria,drug rash,chicken pox,hand,foot and mouth disease.Conclusions Since the pediatric patients'rash con be found in a vailety of diseases,triage nurses should carefully observe the performance and characteristics of the rash in order to prevent errors triage.