摘要
目的评价建立急诊绿色通道对急性上消化道出血患者的疗效价值。方法对我院急诊绿色通道建立三年来（2007—01—2009—12）206例急性上消化道出血患者（A组）与建立前两年（2005—01～2006—12）150例急性上消化道出血患者（B组）的急救情况进行对照分析。比较两组患者的住院时间、住院治疗费用、平均输血量、复发出血率、急诊外科手术率及病死率。结果A组在止血有效率、住院时间、医疗费用、平均输血量及复发出血率等方面明显优于B组，两组比较差异有统计学意义（P〈0．05）。结论以急诊内镜为特色的急诊绿色通道的建立和完善，缩短了急性上消化道出血患者的救治时间，显著提高了止血成功率，能降低病死率及住院费用，还能节省医疗资源。
Objective To evaluate the curative effect of establishing Green Channel for Emergency Surgery in the patients with acute upper gastrointestinal hemorrhage. Methods The hospital stay, hospitalization costs, the average amount of blood transfusion, recurrent hemorrhage rate, emergency surgical operation rate and death rate were compared between 206 patients with acute upper gastrointestinal hemorrhage from January 2007 to December 2009 after the establishment of Green Channel for Emergency Surgery （group A） and 150 patients with the same disease from January 2005 to December 2006 before the establishment of Green Channel （ group B）. Results Group A was significantly superior to group B in the terms of hemostasis efficiency, hospital stay, hospitalization costs, the average amount of blood transfusion, recurrent hemorrhage rate （P 〈 0.05）. Conclusion Emergency endoscopy is characteristic of the Green Channel for Emergency Surgery, whose establishment and perfection can reduce the time for emergency rescue, significantly increase the hemostasis efficiency, decrease the death rate, save the medical resources and reduce hospital charges.
出处
《中国急救医学》
CAS
CSCD
北大核心
2010年第8期704-707,共4页
Chinese Journal of Critical Care Medicine
关键词
急诊绿色通道
上消化道出血
急诊内镜
Green Channel for Emergency Surgery
Upper gastrointestinal hemorrhage
Emergency endoscopy
