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急诊手术:半天时间确实会产生影响。

Emergency surgery: half a day does make a difference.

作者信息

Lovett B E, Katchburian M V

机构信息

Newham General Hospital, London.

出版信息

Ann R Coll Surg Engl. 1999 Jan;81(1):62-4.

PMID:10325690
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2503227/
Abstract

The emergency operating patterns in a district general hospital were significantly altered by the introduction of an afternoon emergency theatre list co-ordinated by a consultant anaesthetist. Before the introduction of the list, 88% of emergency operations were carried out after 17.00, with 40% of cases waiting until after 22.00. Introduction of the emergency session significantly reduced the operations performed after 17.00 to 53%, with only 12% being delayed until after 22.00.

摘要

一家地区综合医院引入了由麻醉科顾问协调的下午急诊手术安排表后,其急诊手术模式发生了显著变化。在引入该安排表之前,88%的急诊手术在17:00之后进行,其中40%的病例要等到22:00之后。引入急诊时段后,17:00之后进行的手术显著减少至53%,只有12%的手术推迟到22:00之后。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b251/2503227/d5ab5071733b/annrcse01617-0074-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b251/2503227/40cc984dbb72/annrcse01617-0073-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b251/2503227/835cdf55ce6d/annrcse01617-0073-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b251/2503227/d5ab5071733b/annrcse01617-0074-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b251/2503227/40cc984dbb72/annrcse01617-0073-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b251/2503227/835cdf55ce6d/annrcse01617-0073-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b251/2503227/d5ab5071733b/annrcse01617-0074-a.jpg

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本文引用的文献

1
An emergency daytime theatre list: utilisation and impact on clinical practice.日间急诊手术安排表:使用情况及其对临床实践的影响
Ann R Coll Surg Engl. 1993 Nov;75(6):441-4.
2
An audit of the effect of a 24-hour emergency operating theatre in a district general hospital.对一家区综合医院24小时急诊手术室效果的审计。
Ann R Coll Surg Engl. 1994 Mar;76(2 Suppl):56-8.
3
Theatre delay for general surgical emergencies: a prospective audit.
Ann R Coll Surg Engl. 1995 May;77(3 Suppl):121-4.
急诊手术室优先顺序的改变并不会改变急性阑尾炎的结局:比较队列研究。
World J Emerg Surg. 2009 Jun 8;4:22. doi: 10.1186/1749-7922-4-22.
4
We still need to operate at night!我们仍然需要在夜间做手术!
World J Emerg Surg. 2007 Oct 31;2:29. doi: 10.1186/1749-7922-2-29.
5
Does the introduction of HDU reduce surgical mortality?引入重症监护病房(HDU)是否能降低手术死亡率?
Ann R Coll Surg Engl. 1999 Sep;81(5):343-7.
4
Can nocturnal emergency surgery be reduced?夜间急诊手术能否减少?
Br Med J (Clin Res Ed). 1984 Jul 21;289(6438):170-1. doi: 10.1136/bmj.289.6438.170.
5
Theatre delay for emergency general surgical patients: a cause for concern?急诊普通外科患者的手术延迟:值得关注的问题?
Ann R Coll Surg Engl. 1990 Jul;72(4):236-8.