心电图危急值218例分析.docVIP

精品论文 参考文献 心电图危急值218例分析 江山 刘蕾 　　( 皖北煤电集团总医院心电图室, 安徽 宿州 234000) 　　摘要：目的：探讨心电图危急值的应用价值。方法：分析我院2014年1月至2014年12月218例心电图危急值报告的特点、流程及结果等，总结心电图危急值报告的重要性及应用价值。结果：我院心电图危急值的分布特点：住院患者136例，占62％，门急诊患者82例，占38％。急性心肌梗死102例，占47％；急性心肌缺血、损伤5例，占2％；致命性快速心律失常56例，占26％；致命性缓慢性心律失常55例，占25％。危急值发生人群老年人大于中青年。结论：心电图危急值项目的制定、报告的及时性、流程的规范能明显降低危重患者病死率，改善患者预后，保障医疗安全，应尽快在各级医院实施；危急值项目应尽快统一。 　　关键词：心电图；危急值；应用价值 　　Analysis of 218 Cases of ECG Critical Value JiangShan .The Electrocardiogram of Wanbei Coal Group General Hospital Suzhou , Anhui province，234000，China，E-mail：ss562575@163.com 　　【 abstract 】Objective To investigate the clinical application of electrocardiogram ECG critical values. Method Analysis of the features, process and result, etc of 218 cases of critical value of ECG treatment measures in our hospital from January 2014 to December 2014, summarizing the importance of the ECG in critical value and its application value. Results The distribution characteristics of ECT critical value: 136 cases were inpatients (62%); 82 cases were outpatients( 38%); 102 cases were acute myocardial infarction (47%); 5 cases were acute myocardial ischemia and injury (2%); 56 cases were lethal rapid arrhythmia, (26%); 55 cases were lethal tardy arrhythmia (25%) .Critical value in the elderly is greater than the young crowd. Conclusions The development of ECG critical value , timely feedback and process specification can significantly reduce the fatality rate in critical patients, improving the prognosis of patients, with medical security, which should be implied in hospitals at all levels as soon as possible; the project of critical value should be unified as soon as possible 　　【 key words 】 electrocardiogram (ECG); Critical value; Application value 　　危急值指该辅助检查结果显示患者正处于生命危险的边缘状态的指标，所以危急值（Critical Value）也称为紧急值或警告值[1]。近年来，医院等级评审迅速开展，促进了危急值报告制度在各大医院落实，如何快速准确上报和及时处理危急值是保证患者医疗质量和医疗安全的重要前提。 现将我院2014年218例心电图危急值分析如下，探讨其应用价值。 　　1.资料与方法 　　1.1一般资料 　　选取我院2014年1月-2014年12月心电图危急值资料共218例患者。其中住院患者136例，门急诊患