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目的总结分析北京协和医院内分泌专科会诊病例构成情况。方法统计北京协和医院内分泌科会诊医师2010年3月1日至2011年2月28日的会诊病例,分析病例构成情况。结果共会诊患者871例,其中常规会诊675例(77.5%),急诊会诊196例(22.5%)。会诊病例最多的是糖尿病,397例,占全部会诊病例的45.6%;其次为甲状腺功能亢进症(甲亢症),84例(9.6%)。急诊会诊中以低钠血症最常见,45例(23.0%),其次为甲亢症,44例(22.4%)。手术科室糖尿病会诊构成比(66.6%)明显高于非手术科室(45.6%)。结论内分泌科会诊医师应了解内分泌科会诊病例的构成特点,在会诊中不断总结经验,提高诊疗水平。
Objective To summarize and analyze the composition of endocrine specialist consultation in Peking Union Medical College Hospital. Methods The consultation cases of endocrinologist and physician in Peking Union Medical College Hospital from March 1, 2010 to February 28, 2011 were analyzed, and the case composition was analyzed. Results A total of 871 patients were enrolled, including 675 cases (77.5%) of routine consultations and 196 cases (22.5%) of emergency consultations. The largest number of consultation cases were diabetes, 397 cases, accounting for 45.6% of all cases; followed by hyperthyroidism (hyperthyroidism), 84 cases (9.6%). Hyponatremia was most common in emergency consultations, with 45 (23.0%) followed by hyperthyroidism and 44 (22.4%) with hyperthyroidism. The consultation ratio of diabetes department in operation department (66.6%) was significantly higher than that in non-operation department (45.6%). Conclusion Endocrinology consultation physicians should understand the composition of the consultation of endocrine cases, constantly sum up experience in consultation, improve the level of diagnosis and treatment.