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目的
探讨急诊就诊患者在不同时段的就诊规律，为急诊科管理提供依据。方法 收集门急诊就诊信息系统2009年10月1日—2010年4月30日急诊病例资料。采用多阶段随机抽样方法，共抽取7 634份急诊病例资料。结果 急诊患者中男性多于女性，急诊儿科中位年龄3岁，急诊内科、急诊外科中位年龄32岁。就诊科别以急诊儿科患者占多数。费用类别以自费患者为主。16：00—<00：00时上夜班为就诊高峰时段，在高峰时段，急诊儿科、医疗保险患者增加较明显，但疾病轻重分级以4级及5级轻症病例为主。结论 在就诊高峰时段，要相应调整排班，加强导诊和分诊，可缓解急诊科拥挤现象。学科建设中要加强急诊儿科医师的培养。 |
| 关键词: 教学医院 急诊 就诊病例 |
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| Analysis of Visiting Case in Different Time of Emergency Room in Teaching Hospitals |
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| Abstract: |
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Objective
To explore the visiting rule in different time of emergency rooms,and to find gist for administering emergency room. Methods Collecting the information of emergency room visiting from October 1, 2009 to July 1, 2010. 7 634 cases are selected through random selecting method. Results There are more males than females. The median age is 3 years in department of pediatrics，and 32 years in emergency internal medicine and emergency surgery. Pediatrics patients are in the majority, with their own expense category mostly. During the rush hour 16：00—<00：00, pediatrics patients, medical insurance patients increase more obviously. But for disease classification, 4 to 5 grade are in the majority. Conclusion In visiting rush hour, we should arrange day and night shift, enhance information desk and guide to emergency, so as to relieve congestion in emergency room. Pediatrics doctors training should be enhanced in discipline construction. |
| Key words: teaching hospital, emergency, visiting case |
