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[损伤确定性治疗中的医院急诊诊断要求]

[Requirements for hospital emergency diagnosis in definitive treatment of injuries].

作者信息

Catić D, Dalagija F, Suljević E

机构信息

Institut za radiologiju, Klinicki centar Univerziteta u Sarajevu Institut.

出版信息

Med Arh. 2000;54(4):251-2.

PMID:11117039
Abstract

For the purpose of prompt diagnostics, next to emergency room, we have x-ray room with a possibility of chest and skeleton x-ray filming, as well as one mobile x-ray machine and ultrasound device, with a radiologist and radiographer on 24 hours shift. Subspecialists radiologists are on call, if necessary to perform special radiological procedure like angiography, CT, or MRI. We use CT like screening method for all neurological cases in emergency room. Well equipped urgent laboratory is on service 24 hours a day with a specialist biochemist and laboratory technician so all the urgent laboratory findings are available promptly and even can submit a result by phone. Blood bank has also extended department next to emergency room with full service 24 hours a day. Our experience showed that urgent diagnostic, organised in this way, provides faster definite treatment whether patient is going to Intensive Care Unit (ICU) for further reanimation or to operating room for urgent surgical procedure.

摘要

为了进行快速诊断,除了急诊室外,我们还有X光室,可进行胸部和骨骼X光拍摄,还有一台移动X光机和超声设备,有放射科医生和放射技师24小时轮班。如有必要进行血管造影、CT或MRI等特殊放射检查,专科放射科医生随时待命。我们将CT用作急诊室所有神经科病例的筛查方法。设备齐全的急诊实验室每天24小时服务,有专业生物化学家和实验室技术员,因此所有急诊实验室检查结果都能迅速获得,甚至可以通过电话提交结果。血库在急诊室旁边也有扩展区域,每天24小时提供全面服务。我们的经验表明,以这种方式组织的紧急诊断,无论患者是前往重症监护病房(ICU)进行进一步复苏,还是前往手术室进行紧急外科手术,都能提供更快的确切治疗。

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