摘要
从1983年卫生部颁发《城市医院建立急诊(室)的方案》至今,我国急诊科室从孕育诞生到发展壮大经过了艰难历程。相比急诊内科而言,国内多数医院急诊外科的发展成为急诊科的薄弱环节。急诊创伤救治模式仍然是完全依赖型或半依赖-半自主型模式,实行分诊分科,救治时效性差、效率低、死亡率高。因此,大力发展现代创伤救治一体化模式是急诊外科发展的当务之急。急诊外科救治水平的提高,除得益于气道管理、液体复苏、出血控制、重症监护等医疗技术的进步外,更得益于急救体系运行、医院综合管理的进步,这是多发伤救治理念进步的具体体现。应该在政府、社会、医院的支持下,转变观念,建立现代创伤救治一体化模式,这是创伤救治发展的必然方向。
Project of Building Emergency Room in the City Hospitals was issued by National Ministry of Health in 1983.From then on,Chinese emergency department has come through a difficult time from its birth,and has been developing gradually.Compared with internal medicine emergency,development of emergency surgery has always been a weaker area in most hospital in China.Models of emergency trauma care are still full-dependent or half-dependent and half-independent.Under these models,the patients were rescued in different departments after triage,which lead to untimeliness,inefficiency and higher death rate.To develop a modern trauma care integration model is an urgent matter.To enhance treatment level of emergency surgery profits not only from medical technical improvement such as management of airway,fluid resuscitation,control of hemorrhage and intensive care therapy,but also from emergency system and the progress of comprehensive management in hospitals,which may reflect progress of multiple injury therapy.It is the right direction to establish modern integration model of trauma treatment for emergency surgery under the support of the government,society and hospitals.
出处
《临床误诊误治》
2013年第7期1-3,共3页
Clinical Misdiagnosis & Mistherapy
关键词
急诊
创伤
医院管理
Emergency
Trauma
Hospital management
