危重病人487例监控情况分析

目的对监控的危重病人进行分析,为完善危重病人的管理提供科学依据.方法从487例危重病人的病历资料收集研究信息.结果 487例监控病人男女比例为2.12：1,中位年龄65岁,中老年人占82.54%.疾病谱前五位依次为：神经系统、心血管系统、呼吸系统、创伤、消化系统;前五位死因依次为：神经系统疾病、呼吸系统疾病、创伤、肿瘤、心血管系统疾病;前五位疾病死亡率依次为：肿瘤、MODS、其他、创伤、内分泌系统疾病.抢救成功率为72.90%.结论通过加强危重病人的监控,不断提高危重病人处置能力和管理水平,降低危重病人死亡率,达到医疗质量持续改进的目的.

Analysis of the Monitoring of 487 Critical Patients

Objective To provide scientific basis for improving the management of critical patients by analyzing the critical patients monitored in our hospital.Methods The medical records of 487 critical patients were collected and analyzed.Results Male to female ratio of 487 monitored patients was 2.12：1,the median age was 65,the elderly patients accounted for 82.54%.The top five diseases in the disease spectrum were：the nervous diseases,cardiovascular diseases,respiratory diseases,trauma,and digestive diseases.The top five causes of death were as follows：nervous diseases,respiratory diseases,trauma,cancer,and cardiovascular diseases.The top five diseases with high mortality were as follows：tumor,MODS,the other,trauma,endocrine system diseases.The success rate of rescue was 72.90%.Conclusion By strengthening the monitoring of critical patients and continuously improving the ability to deal with critical patients and management level,the mortality of critical patients can be reduced,and the medical quality can be continuously improved.