摘要
目的调查江苏省太仓市农村一级医院急诊室规范化建设现状和存在问题。方法以苏州市卫生局《一级医院急诊室建设与管理指南》为依据制定调研表，对太仓市20家农村一级医院急诊室进行实地调研。结果20家一级医院均能24h提供急诊服务，1家医院独立设急诊室，余为病房抢救室兼急诊室功能，急诊室平均面积18．91m。，平均抢救单元1．2个，分科急诊2家医院，全科医师承担急诊18家医院。5家医院24h提供超声检查，14家部分时间段，1家不能提供；6家医院24h提供普通放射检查，13家部分时间段，1家不能提供。20家医院配备吸氧，16家配备吸引器，14家配备简易呼吸器，5家备环甲膜穿刺针，3家配备气管插管，2家配备呼吸机，18家配备洗胃机，3家配备除颤仪，15家配备监护仪，20家配备心电图机，17家配备快速血糖仪。20家一级医院日班时间段平均可参与急诊工作的医师4．7人，护士3．7人，中夜班时间段平均可参与急诊工作的医师1．2人，护士1．2人。基本急救技术的总体开展率在50．48％。气管插管开展率20％。结论目前太仓市农村一级医院急诊室存在功能布局不合理、设备配置不全、基本急救技术开展率低等问题。
Objective To be compliance with the standard requirements, an investigation was undertaken on the existing emergency room in the rural primary hospitals in Taicang. Metheds In the light of Guide of the standards and management for the emergency room of primary hospital drafted by Suzhou Public Health Bureau, an investigation was conducted in twenty emergency rooms of the rural primary hospitals of Taicang. Results All of the twenty hospitals are capable to provide 24/7 emergency service. There is only one hospital which has its own emergency department, and rest of them functioning as combination of a hospital ward and an emergency room. The average area of emergency room is 18.91 m2 with an average value of 1.2 rescue unit. The task of treatment was undertaken by general practitioners in eighteen hospitals, and specialty of services was offered in two other hospitals. There are five hospitals providing ultrasonic testing in 24/7 while other fourteen hospitals only offer at certain time during a day, and only one is not capable. There are six hospitals providing normal radioscopy in 24/7, and thirteen in certain time during a day, and one cannot. All the twenty hospitals are able to provide oxygen therapy devices, in which sixteen of them provide aspirator, and fourteen provide manual respirator, five provide thyrocricocentesis, three provide tracheal intubation＇ s equipments, two have respirator. Eighteen have stomach pumps, three have defibrillators, fifteen have patient monitors, twenty have electrocardiographs, and seventeen have fast glueometer. The average value of a day shift is with 4.7emergency physician and 3.Tnurse. The average value of emergency physician and nurse are all 1.2 in late and night shift. The general carry-out rate of basic first aid technique is 50.48%, and tracheal intubation is 20%. Conclusion It demonstrated an unreasonable layout, the insufficient medical equipment and the low general carry out rate of basic first aid technique in the emergency room of the rural primary hospitals i
出处
《中国急救复苏与灾害医学杂志》
2012年第6期521-523,543,共4页
China Journal of Emergency Resuscitation and Disaster Medicine
基金
江苏省社会发表项目资助（BE2009605）
关键词
一级医院
急诊室
现状调研
Primary hospitals
Emergency room
Investigation
