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目的:探讨民族地区二级甲等医院重症医学科建设,在三甲医院“对口帮扶”下重症患者诊治及病种分布。方法:对2014年10月14日至2015年12月31日收治重症医学科113例患者进行回顾性分析。结果:收治患者113例,行气管插管术18例,使用呼吸机18例,中心静脉穿刺置管术74例,桡动脉穿刺有创测压2例,经皮气管切开术3例。救治后顺利转科54例,无重返ICU患者。转上级医院18例,由ICU出院18例,经ICU初步救治转院2例,自动出院14例,死亡7例,外科系统转入18例:其中外科病房转入7例,ICU直接收治2例,术后转入11例,术后患者均为非计划转入;内科系统收治95例,病房转入8例,急诊科分诊后直接收治85例。结论:内科入住ICU患者最多,外科最少,而内外科重症患者从专科病房转入患者较少,ICU独立收治最多。
Objective: To explore the construction of the second class A hospitals in ethnic minority areas in China, construction and diagnosis and treatment of critically ill patients in the top three hospitals. Methods: A retrospective analysis was performed on 113 patients admitted to the Department of Critical Care Medicine from October 14, 2014 to December 31, 2015. Results: 113 cases were treated with tracheal intubation in 18 cases. Ventilator was used in 18 cases, central venous catheterization in 74 cases, radial artery puncture in 2 cases and percutaneous tracheostomy in 3 cases. 54 cases were successfully transferred to treatment, no return to ICU patients. 18 cases were transferred to superior hospital, 18 cases were discharged from ICU, 2 cases were transferred to ICU for initial treatment, 14 cases were discharged automatically, 7 cases died. Surgical system was transferred to 18 cases: surgical ward transferred to 7 cases, ICU directly treated 2 cases, After the operation, 11 cases were transferred to the hospital, and 95 cases were admitted to the medical department. Eight patients were admitted to the ward and 85 were admitted to the emergency department. CONCLUSIONS: The most ICU patients were admitted to the medical department with the least number of surgical interventions, while those with severe internal medicine and surgical patients were transferred from specialist wards to ICU with the largest number of patients admitted to the ICU independently.