372例急诊“120”患者抢救分析

目的 :探讨急诊“12 0”对医院急诊科救治水平的影响。方法 :分析 372例急诊“12 0”病例的临床情况及治疗转归。结果 :急诊疾病病谱前 6位病种分别是急性损伤、心脑疾病、昏迷、急性中毒、中暑和肿瘤。 372例筛出多种特殊情况 ,得出本组病例的实际救治率为 82 .3% ;“无名氏”群体 10 3例 (占 2 7.7% ) ,这部分病例给急诊临床和社会带来了新问题 ,如何将其损失减少到最小范围 ,这仍有待今后继续探讨。急诊“12 0”的病例进入急诊科后给各专科病房 (占 39.5 % )和 ICU病房 (占 6 0 .5 % )输送病源 ,经急诊科再救治的患者比未经急诊科处理直接转入专科的病例安全系数大 ,发生纠纷的机会少。急诊“12 0”在应付灾难性事件方面显示了很强的应激能力。结论 :急诊“12 0”是医院急诊科的主要病例来源 ,是“院前急救院急诊科救治 ICU”三位一体急救模式的重要组成部分。

Emergency treated analysis in 372 emergency-"120" patients

Objective:To explore the effects of emergency"120" on treatment level of hospital emergency depertment.Methods:Three hundred and seventytwo emergency cases were analysed.Results:The disease spectrum in emergency department was reviewed.The first 6 diseases in our emergency department were respectively trauma,cardiocerebral disease,coma,acute poisoning,heart stroke and tumor.In 372 cases,82 3% patients were cured,excluded some special conditions.But there were 103 cases which were anonymous person.This population brought new problem to clinical medicine and society.How to minimize its loss should be given special efforts to explore it.After treated through emergency department,39 5% emergency"120" cases were transmitted to ICU,60 5% to the other special department ward.There was much more safety coeffiecient in cases treated by emergency department than that without treatment in emergency deparment,and also less disputes occurred.Emergency"120" had very strong potential to treat the catastrophic emergency.Conclusions:Through analysis to emergency"120",the clinic medicine and emergency medicine will be promoted.