2012年～2014年某院急诊留观患者疾病构成的分析

摘要

Objective To provide clinical guidance by analyzing the disease sorting components of observed patients in our emergency observing room during 2012 to 2014.Method We selected the 87904 observed patients during 2012 to 2014 in the emergency observing room of our three branch-hospitals. Analysing the disease sorting,patients ages, and their prognosis. According to ICD-10 standard for disease sorts.Results Observed emergency patients of the three years(2012, 2013, 2014) were 18307, 30573, 39024 respectively, the top 5 kinds of disease are circulation system disease, injury and intoxication, respiratory disease, neural system disease and digestive system disorder. The maximum patients’ age is over 60 years group, the secondary age is 45 to 49 group, accounting for 35.14% and 32.95% respectively of the total observed patients.Conclusion Circulation system diseases are still the maximum of emergency observed and rescued patients,and the most morbidity and mortality rate diseases. The secondary is injury and intoxication disease. Analysing the components of emergency observed patients’ sort of diseases may effectively know and master the characters of ages and disease entities among the emergency observed patients, and to improve the success rate of emergency rescue.%目的：通过分析2012年~2014年我院留观患者疾病构成，为临床提供指导。方法采用我院2012年~2014年三个院区急诊科留观患者87904例为研究对象。统计分析急诊患者的疾病分类、年龄、转归情况。疾病分类采用国际疾病分类ICD-10标准。结果2012年、2013年、2014年3年急诊留观患者分别是18307、30573、39024例。排名前5位的疾病：循环系统疾病、损伤和中毒、呼吸系统疾病、神经系统疾病、消化系统疾病。＞60岁年龄组急诊患者最多，其次是45~49岁年龄组，分别占急诊总留观患者的35.14%和32.95%。结论循环系统疾病依然是急诊留观、急诊抢救最多的，致残率、病死率最高的，其次是损伤和中毒。对急诊留观患者疾病构成分析，可以有效地了解和掌握急诊留观患者年龄及病种分布特点，有助于提高急诊抢救成功率。