精细化管理在急诊非创伤性胸痛患者分诊中的效果评价

发布时间：2018-02-04 04:22

本文关键词： 精细化管理非创伤性胸痛分诊　出处：《心脑血管病防治》2016年06期 　论文类型：期刊论文

【摘要】：目的探讨精细化管理对急诊非创伤性胸痛患者的分诊效果以提高急诊预检分诊的准确率。方法采用精细化管理的分诊模式对我院以非创伤性胸痛为主诉的1230例急诊患者,实施统一分诊标准提前分诊,分送不同急诊区域进行诊疗,并与上一年度非精细化管理分诊模式的同类患者进行比较,观察诊疗效果。结果急诊非创伤性胸痛患者的分诊准确率由实施前的90.00%提高到96.42%,其中急性冠状动脉综合征、肺栓塞、主动脉夹层等高危胸痛的分诊检出率由实施前的83.07%提高到97.18%,差异有统计学意义(P0.05)。结论对非创伤性胸痛患者的分诊实施精细化管理,有利于提高急诊预检分诊的准确性及高危胸痛患者的分诊检出率,从而减少高危胸痛的漏诊以及对中、低危胸痛患者的过度医疗。
[Abstract]:Objective to explore the effect of meticulous management on nontraumatic chest pain patients in emergency department, and to improve the accuracy of emergency diagnosis. Methods 123 cases of non-traumatic chest pain in our hospital were investigated by careful management. There were 0 emergency patients. To implement the unified diagnostic standard in advance, to send to different emergency areas for diagnosis and treatment, and to compare with the previous year's non-meticulous management of the same type of patients. Results the diagnostic accuracy of emergency non-traumatic chest pain patients was increased from 90.00% to 96.42, including acute coronary syndrome and pulmonary embolism. The detection rate of high risk chest pain such as aortic dissection increased from 83.07% to 97.18%. Conclusion the meticulous management of non-traumatic chest pain patients is helpful to improve the accuracy of emergency diagnosis and the detection rate of high risk chest pain patients. So as to reduce high-risk chest pain missed diagnosis and moderate, low-risk chest pain patients over-treatment.
【作者单位】：浙江省湖州市中心医院;
【分类号】：R472.2
【正文快照】： 急性胸痛是急诊患者常见就诊原因。研究显示,我国大部分三甲医院急诊科,以胸痛或胸部不适为主诉就诊的患者占急诊就诊人数的5%以上[1],其中以急性非创伤性胸痛为多见。急性非创伤性胸痛的病因复杂多样、病情严重程度相差悬殊,预后迥异,其中急性冠状动脉综合征、肺栓塞、主动脉

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