医疗互动在双向转诊体制下对急诊脑疝患者的救治意义

张宏兵; 张建康; 苏宝艳; 王晓峰; 郑龙

doi:10.13201/j.issn.1009-5918.2016.11.010

医疗互动在双向转诊体制下对急诊脑疝患者的救治意义

- 1. 解放军第三医院神经外科(陕西宝鸡, 721004);
- 2. 陇县人民医院外科

详细信息

通讯作者: 郑龙,E-mail:13689170106@163.com

中图分类号: R651.1

收稿日期: 2016-09-26

The meaning of medical personnel mobile in treating emergent cerebral hernia patient in the system of two-way referral

- 1. Department of neurosurgery, the people's Liberation Army Third Hospital, Baoji 721004, China;
- 2. Department of Surgery, People's Hospital of Long County

More Information

Corresponding author: ZHENG Long, E-mail: 13689170106@163.com

Received Date: 26 September 2016

摘要

摘要: 目的:探讨医疗互动在双向转诊体制下对急诊脑疝患者的救治意义。方法:回顾分析2014-05-2015-01陇县人民医院急诊脑疝患者32例(A组),均采取转诊我院治疗。2015-02-2016-04两家医院采取了医疗互动对急诊脑疝患者的救治策略,经简单培训,陇县人民医院直接接诊脑疝患者,上级医疗人员移动,就地手术治疗51例(B组)。并对患者术前的一般情况及愈后进行比较。结果:B组较A组能使患者及时得到有效救治;术后1个月患者意识状态B组优于A组;A组、B组死亡分别为12例(37.50%)、9例(17.65%),2组比较差异有统计学意义(P<0.05)。结论:医疗互动是目前双向转诊救治体系的必要补充,尤其对神经外科脑疝的危急患者,能使其得到及时有效的救治,有一定的推广价值。
- 医疗互动 /
- 双向转诊体制 /
- 脑疝
Abstract: Objective:To explore the significance of medical personnel mobile in treating emergent cerebral hernia patient in the system of two-way referral.Method:Team A:32 emergent cerebral hernia referrals from People's Hospital of Long County(Second level of first-class hospital) to the Third Hospital of Chinese PLA(Level of first-class hospital) from May,2014 to January,2015.Team B:the Third Hospital of Chinese PLA began to carry on medical personnel mobile for treating emergent cerebral hernia patients at People's Hospital of Long County from February,2015 to April,2016.At first,local hospital neurosurgical doctors trained by medical professionals from the Third Hospital of Chinese PLA treated 51 cerebral hernia patients at the local hospital.Preoperative factors and prognosis were compared between the two groups of patients.Result:Patients in Group B received effective treatment timely.Consciousness at postoperative 1 month in group B is better than that of group A.The death rate in group A is 12 (37.50%) and in group B is 9 (17.65%).The two groups have significant differences.Conclusion:Medical personnel mobile is a necessary complement for the system of two-way referral which has some promotional value,especially for treating neurosurgical emergent cerebral hernia patient.
- personnel mobile /
- two-way referral system /
- cerebral hernia

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参考文献(9)

[1]	杨坚,卢珊,金晶,等.基于系统思想的分级诊疗分析[J].中国医院管理,2016,36(1):1-5.
[2]	余波,王薇,吴晓君,等.分级诊疗下业务紧密型医疗卫生协同网建设的实践[J].中国医院管理,2015,35(12):7-9.
[3]	Chibbaro S,Vallee F,Beccaria K,et al.The impact of early cranioplasty on cerebral blood flow and its correlation with neurological and cognitive outcome.Prospective multi-centre study on 24 patients[J].Rev Neurol(Paris),2013,169(3):240-248.
[4]	Klinge U,Klosterhalfen B.Modified classification of surgical meshes for hermia repair based on the analyses of 1,000explanted meshes[J].Hernia,2012,16(3):251-258.
[5]	胡连水,张明升,王文浩,等.锥、钻颅引流减压抢救急性硬膜外(下)血肿致脑疝患者的临床研究[J].中华神经医学杂志,2012,11(9):908-911.
[6]	张宏兵,王晓峰,李加龙,等.损伤控制技术在脑疝患者急救中的应用[J].临床急诊杂志,2014,15(3):162-163..
[7]	刘红卫,贺世明.急性重型硬膜下血肿快速救治新方法[J].基层医学论坛,2012,16(7):829-830.
[8]	张宏兵,苏宝艳,王晓峰,等.统筹安排在急诊开颅术前准备中的意义[J].临床急诊杂志,2013,14(6):294-295.
[9]	汪锡华,肖伟忠.颅脑损伤和出现手术指征到手术时间对预后影响的比较[J].临床急诊杂志,2011,12(5):334-335.