摘要
目的研究综合性医院院内急救体系建设及运作模式。方法组建由专职急危重症抢救人员组成的特别行动小组,7×24 h待命,随时应召负责全院住院患者和门急诊的急危重症应急抢救,随机抽取47例急危重症患者为实验组;同时随机抽取同一地区另外一家综合性三甲医院住院的急危重症患者共45例为对照组。对照组采用传统的院内急救模式,患者全部由临床各科室自行救治为主,仅在需要气管插管时,由麻醉师前往实施。比较实验组和对照组在抢救成功率、急救反应时间、气管插管操作时间的区别。结果实验组的抢救成功率高于对照组,急救反应时间少于对照组,二者在气管插管操作时间上没有区别。结论在大型综合性医院内建立一支7×24 h全天候为全院急危重症患者抢救服务的固定的专职急危重症抢救特别行动小组,负责院内的急危重症患者的救治尤其是早期甚至超早期的基础生命支持和高级生命支持是一种十分可行的做法,它使抢救流程通畅,缩短抢救时间,提高抢救成功率。
Objective To study the building of emergency system and the practicable operating model in big hospitals. Method Randomly selected 47 critical patients as experiment group, which were treated by the ＂critical patients treating group＂ that were specialized for emergengcy and critical patients rescue of the whole hospital and outpatient and emergengcy department, that were on-call for 7 - 24 hours; at the same time randomly selected 45 critical patients admitted at another big hospital as control group, which were treated by different departments and only when intubation was needed, the anaesthetists would come to do it. Comparing the successful rescue rate, emergency reaction time and the intubation time between the experiment group and the control group. Results The successful rescue rate of experiment group is hither than that of control group, the emergency reaction time of the experiement group is shorter than that of control group, there was no difference between the two groups in the intubation time. Conclusions It is a practicable method to build a stable special group in big hospitals to participate in the rescue of critical patients, especially basic life support and advanced life support. It smoothes the process of rescue, shortens the rescue time, improves the successful rescue rate.
出处
《中华急诊医学杂志》
CAS
CSCD
2007年第6期663-665,共3页
Chinese Journal of Emergency Medicine
基金
海南省自然科学基金指导项目(80447)
