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目的:探讨如何规范化使用床边超声心动图检查,使之更合理高效地服务于临床。方法:使用超声诊断仪,回顾性分析我院2005年1月-2010年12月间行急诊床边超声心动图检查共790例患者的资料,并与我院年急诊总量和年住院患者总量相比较。结果:急诊总量、住院患者总量和超声检查总人次第二年较前一年增长幅度分别为(6.4%、4.4%、3.4%),(17.0%、18.2%、-4.9%),(17.8%、8.6%、117.2%),(12.0%、7.6%、70.6%),(-5.9%、7.9%、26.0%)。结论:床边超声心动图检查尽管在心血管急危重症患者的诊断和治疗中发挥着无可替代的作用,但我院6年来床边超声心动图检查人次的增长幅度远远高于急诊和住院患者增长幅度。因此面对日益增多的患者和随之增加的临床需求,为了使真正的急危重症患者得到及时检查,并有效防范医疗纠纷和医疗事故的发生,合理规范的申请和使用床边超声心动图检查更显得意义重大。
Objective: To explore how to standardize the use of bedside echocardiography to make it more reasonable and efficient to serve the clinical. Methods: The data of 790 patients who underwent emergency bedside echocardiography from January 2005 to December 2010 in our hospital were retrospectively analyzed by using the ultrasonic diagnostic apparatus. The data were compared with the total number of annual emergency department and hospitalized patients in our hospital The amount of comparison. Results: The total number of emergency cases, total number of inpatients and total number of ultrasound examination in the second year increased by 6.4%, 4.4%, 3.4%, 17.0%, 18.2% and 4.9% respectively, (17.8%, 8.6%, 117.2%), (12.0%, 7.6%, 70.6%), (-5.9%, 7.9%, 26.0%). Conclusion: Although the bedside echocardiography plays an irreplaceable role in the diagnosis and treatment of patients with cardiovascular crisis, the bedside echocardiographic examination in our hospital has a much higher rate of increase than that of emergency and inpatient Patient growth rate. Therefore, in the face of a growing number of patients and the consequent increase of clinical demands, in order to promptly check the real patients in critical condition and prevent medical disputes and medical accidents effectively, the application and use of bedside echocardiography More significant.