摘要
目的了解儿科急诊疾病谱特点,提高儿科急诊医师的诊疗水平及抢救成功率。方法对2016年1—12月在该院儿科急诊就诊的73 423例进行回顾性分析。结果普通急诊患儿69 288例(94.37%),发病年龄集中在3个月~3岁,共42 352例(61.12%),普通急诊疾病前五位疾病是上呼吸道感染40 021例(57.76%)、支气管炎9 801例(14.15%)、腹泻病4 272例(6.17%)、支气管肺炎3 750例(5.41%),胃肠炎2 932例(4.23%);重症急诊患儿4 131例(5.63%),发病年龄也集中在出生~3岁,共3 625例(87.75%),重症急诊疾病位列前5位疾病是重症肺炎1 239例(31.30%)、惊厥1 140例(27.60%)、腹泻病并中度及以上脱水650例(15.73%)、肺炎合并先天性心脏病121例(2.93%)、哮喘持续状态89例(2.15%)。结论儿科急诊疾病谱以呼吸系统和消化系统常见的感染性疾病为主,发病年龄以婴幼儿居多,重症常继发休克、心力衰竭、呼吸衰竭而危及生命。应引起儿科急诊医生注意。
Objective To know the features of emergency diseases in the department of pediatrics and improve the diagnosis and treatment level and rescue success rate of emergency physicians in the department of pediatrics. Methods 73423 cases of emergency patients in the department of pediatrics in our hospital from January to December 2016 were retrospectively analyzed. Results In the 69 288 cases of common emergency children （94.37%）, there were 42 352 cases （61.12% ）whose attack ages were between three months to three years old, and the top five common emergency diseases were upper respira-tion tract infection 40 021 cases（57.76%）, bronchitis 9 801 cases（14.15%）, diarrhea 4272 cases（6.17%）, bronchial pneu-monia 3 750 cases （5.41% ）and gastroenteritis2 932 cases （4.23%）; in the 4 131 cases of severe emergency children （5.63%）, there were 3 625 cases of children （87.75%）whose attack age were between birth to three years old, and the top five severe emergency diseases were severe pneumonia 1 239 cases（31.30%）, convulsion 1 140 cases （27.60%）, diarrhea and moderate dehydration or above 650 cases （15.73%）, pneumonia and congenital heart disease 121cases （2.93% ）and asthma persistent state 89 cases （2.15%）. Conclusion The emergency disease spectrum in the department of pediatrics is mainly infectious diseases in the respiratory system and digestive system, and the attack age is mainly the infants, and the shock, heart failure and respiratory failure are usually secondary to severe diseases and even threatens their lives, which should draw the attention of emergency doctors in the department of emergency.
出处
《中国卫生产业》
2017年第11期14-16,共3页
China Health Industry
关键词
儿科
急诊
患儿
急诊疾病谱
Pediatrics
Emergency
Chidren
Emergency disease spectrum
