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目的:探查新开重症监护病房(ICU)收治患者的来源,收治原因以及治疗效果。方法:采用回顾性方法进行分析。结果:2年来共收治370例患者,病例来源构成急诊转入52例(14.1%),会诊转入例148例(40.0%),术后转入170例(45.9%)。会诊转入组年龄(71.66±13.79)岁,为三组中最高(H=49.22,P<0.01),其平均住院日为(7.86±10.03)d,为三组最长(H=48.39,P<0.01)。所有病例收治原因排序分别为外科全麻术后170例(45.9%),心脑血管病55例(14.9%),多器官功能不全49例(13.2%),严重感染46例(12.5%),中毒和严重创伤27例(7.3%),恶性肿瘤13例(3.5%),其它原因10例(2.7%)。急诊转入组心肺复苏术后患者比例更多(2χ=83.25,P<0.01);会诊转入组合并感染患者比例更多(2χ=83.22,P<0.01)。总体病例死亡83例(病死率22.4%)。经过2χ分割检验,术后转入组病死率显著低于急诊转入组和会诊转入组(P均<0.01)。结论:我院新开ICU病例来源受到一定限制。加强科室自身业务素质的发展,规范ICU收治标准有助于我院ICU的发展。
Objective: To explore the source of newly admitted intensive care unit (ICU), the reasons for its treatment and the therapeutic effect. Methods: The retrospective method was used to analyze. Results: A total of 370 patients were treated in two years. The source of the emergency cases was 52 (14.1%), 148 (40.0%) were referred to the emergency department, and 170 (45.9%) were transferred to the hospital after the operation. The average age of consultation was (7.86 ± 10.03) d in the three groups (H = 49.22, P <0.01), the longest in the three groups (H = 48.39, P <0.01). All cases were classified into 170 cases (45.9%), 55 cases (14.9%) of cardiovascular and cerebrovascular diseases, 49 cases (13.2%) of multiple organ dysfunction, 46 cases (12.5%) of serious infections, Toxicity and severe trauma were 27 (7.3%), malignant tumors were 13 (3.5%) and other causes were 10 (2.7%). The proportion of patients who received emergency resuscitation into cardiopulmonary resuscitation group was more (2χ = 83.25, P <0.01). Overall, 83 cases died (case fatality rate 22.4%). After 2χ test, the mortality of the patients who were transferred to the hospital after operation was significantly lower than that of the emergency patients and the patients who were referred to the emergency department (all P <0.01). Conclusion: The source of newly opened ICU cases in our hospital is limited. Strengthen the department’s own business quality development, standardize ICU admitted to the standard ICU will help to promote the development of our hospital.