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根据卫生部1989年12月颁发的医院分级管理文件,我国医院按其功能、任务、设备与技术能力,分为三级十等。麻醉科虽然在分等内被列入一级临床科室,但未明确其技术标准。我认为制定麻醉科的评审标准应以卫生部(89)第12号指示为依据,该文件明确指出:麻醉科的工作领域应由原来的手术室扩大到门诊与病房,业务范围应由临床麻醉扩大到急救、复苏、重症监测治疗与疼痛诊治,具体应达到以下标准。一、科室设置与业务范围在二级医院内麻醉科应成为独立科室,直属院长领导,以便完成所有手术科室的麻醉任务。作为临床科室,麻醉科应设临床麻醉、麻醉恢复室及疼痛诊治门诊。在三级甲等(三甲)医院内,除临床麻醉外,应设疼痛诊治门诊与病房,并应有麻醉恢复室与手术麻醉后重症监测治疗病房(PAICU)或综合性重症监测治疗病房(ICU)。前者主要是为麻醉恢复期病人的管理,后者则收治手术麻醉后危重病人及恢复室难以处理的病人,
According to the hospital classification management document issued by the Ministry of Health in December 1989, hospitals in China are divided into three levels according to their functions, tasks, equipment and technical capabilities. Although the anesthesiology department was included in the first-level clinical department within the classification, its technical standards were not clearly defined. I think that the establishment of an assessment standard for anesthesiology department should be based on instruction No. 12 of the Ministry of Health (89). The document clearly states that the work area of the anesthesiology department should be extended from the original operating room to the outpatient department and ward, and the scope of business should be clinically anesthetized. Expanded to first aid, resuscitation, severe monitoring, treatment and pain diagnosis and treatment, the specific standards should meet the following standards. First, department setup and business scope Anesthesia department in a secondary hospital should be an independent department, directly under the leadership of the dean in order to complete the anesthesia task of all surgical departments. As a clinical department, anesthesia department should be set up clinical anesthesia, anesthesia recovery room and pain diagnosis and treatment clinic. In the third-grade A (III) hospital, in addition to clinical anesthesia, pain clinics and wards should be established, and there should be anesthesia recovery room and postoperative anesthesia severe surveillance treatment ward (PAICU) or comprehensive intensive care treatment ward (ICU ). The former is mainly for the management of patients recovering from anesthesia, while the latter is for patients who are critically ill after surgical anesthesia and difficult to treat in the recovery room.