摘要
目的：了解内分泌科住院总医师会诊的疾病分布及特点,为建立与健全内分泌会诊路径提供依据。方法：统计分析2014年8月~2015年7月内分泌科会诊的住院患者资料。结果：1内分泌会诊共4 500人次,平均每日18人。40~60岁会诊人数2 417人（53.7%）,常规会诊3 953例（87.8%）,急会诊547例（12.1%）。2非手术科室申请会诊2 647人次（58.8%）,手术科室1 842人次（40.9%）,急诊科11人次（0.2%）。非手术科室中各亚科中以神经内科694人（26.2%）、心内科512人（19.34%）、消化内科402人（15.2%）居多。手术科室中以普外科412人（22.4%）、眼科305人（16.6%）、肝胆外科279人（15.1%）居多。3糖尿病及其急慢性并发症占申请会诊比例最多,共2 974人次（66%）,其次为甲状腺及甲状旁腺疾病845人次（18.7%）,电解质紊乱位301人次（6.6%）。4在547例急会诊中,因糖尿病及其急性并发症申请急会诊最多,为349例（占63.8%）,电解质紊乱为131例（23.9%）居第二。结论 ：内分泌科会诊工作量大,任务繁忙,通过对内分泌会诊病例分析总结,对住院总医师会诊工作提供一定借鉴,同时也加强多学科合作,提高综合医院的整体治疗水平。
Objective： To describe the distribution and characteristics of the diseases consulted by the chief resident of endocrinology, and to provide a basis for the establishment and perfection of the consultation avenue.Methods： Statistical analysis was performed on all inpatients in the department of endocrinology from august2014 to july 2015. Results： A total of 4 500 patients were consulted during one year period in endocrinology,including routine consultations for 3 953 cases（87.8%） and emergency consultations for 547 cases（12.1%）. The chief resident consulted an average of 18 new patients per day. Most of the patients were 40 ~ 60 years old（2417 cases, 53.7%）.There were 2 647 people（58.8%） required consultation of non-surgical departments, 1 842people（40.9%） of surgical departments,and 11 people（0.2%） of emergency department. In non-surgical departments, 694 people（26.2%） of Neurology Departments, 512 people（19.34%） of Cardiology Department,and 402 people（15.2%） of Gastroenterology. In surgical department, there were 412 people（22.4%） of General Surgery Department, 305 people（16.6%） of Ophthalmology, and 279 people（15.1%） of Hepatobiliary Surgery.The most common diagnosis was diabetes mellitus and its acute and chronic complications（2974 cases, 66%）,followed by thyroid and parathyroid diseases（845 cases, 18.7%）, and electrolyte disturbance（301 cases, 6.6%）.In the 547 emergency cases, the most common diagnosis was diabetes mellitus and its acute complications（349cases, 63.8%）, followed by electrolyte disturbances（131 cases, 23.9%）. Conclusion： Endocrinology consultations are overwhelming. The analysis of endocrinology consultation cases provides certain reference for the chief resident and cooperation among multidisciplinary departments should be encouraged to improve the overall level of treatment in general hospital.
出处
《泸州医学院学报》
2016年第2期155-158,共4页
Journal of Luzhou Medical College
关键词
内分泌
住院总医师
会诊
Endocrinology
Chief resident
Consultation
作者简介
白雪（1981-），女，硕士，主治医师。E—maii：695755949@qq．com
