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目的分析比较危急值患者死亡状况及不同危急值项目死亡构成比的差异。方法选取大同市第五人民医院2015年1月—2016年1月收治的已达危急值患者100例,统计危急值患者死亡情况,比较并分析危急值项目死亡构成比的差异。结果 100例危急值患者中死亡12例,男女死亡比为7∶5;年龄>60岁患者高于年龄≤60岁者(P<0.05)。生化危急值患者死亡率与电解质危急值、血气分析危急值者比较,差异无统计学意义(P>0.05);血气分析危急值患者死亡率高于电解质危急值者(P<0.05)。结论老年危急值及血气分析危急值患者死亡率较高,危急值的建立对于提高医院诊疗水平、积极抢救患者生命、提升医院管理水平和社会形象具有重要意义,临床需加强检验危急值的应用,努力将危急值管理规范化、信息化、综合化。
Objective To analyze and compare the death status of critically ill patients and the proportions of deaths in different critical items. Methods 100 cases of critically ill patients admitted in the Fifth People ’s Hospital of Datong City from January 2015 to January 2016 were selected for the statistical analysis of the death rate of the critical value patients. Results Of the 100 critically ill patients, 12 were dead and the ratio of male to female death was 7: 5. Patients> 60 years of age were higher than those of ≤60 years of age (P <0.05). There was no significant difference in the mortality rate of patients with biochemical crisis as compared with the critical value of electrolyte and the critical value of blood gas analysis (P> 0.05). The mortality of patients with critical value of blood gas analysis was higher than those with critical value of electrolyte (P <0.05). Conclusion The critical value of the elderly and the critical value of blood gas analysis in patients with high mortality, the establishment of critical values for improving the level of hospital diagnosis and treatment, and actively save the lives of patients and improve hospital management and social image is of great significance, clinical need to strengthen the application of critical value test, Efforts to standardize critical value management, information technology, and integration.