Timsit C A, Bouchene K, Olfatpour B, Herman P, Tran Ba Huy P
Service ORL, Hôpital Lariboisière, 2, rue Ambroise Paré 75010 Paris (France).
Ann Otolaryngol Chir Cervicofac. 2001 Sep;118(4):215-24.
Study the epidemiological and clinical features of patients attending the Lariboisière Hospital (Paris) ENT adult emergency clinic (La Grande Garde) over the first 18 months of operation (November 2, 1998 to May 5, 2000) in order to ascertain practical implications for organization, hospitalization and teaching.
20.563 adult patients attended the ENT emergency clinic. Among them 1.225 were hospitalized after emergency care. Parameters analyzed were: age, sex, mode of referral to the clinic, hour and day of arrival, geographical origin, waiting time, initial signs and pathological situations encountered.
The most frequently observed symptoms leading to the emergency room consultation were: pain, sudden loss of hearing, bleeding, a swallowed foreign body. The most frequent nasal sign was epistaxis, the most frequent auditory condition was acute external and middle ear otitis, and the most frequent pharyngeal condition was ingestion of a foreign body. Among the 1.225 patients who were hospitalized, the most frequent conditions were epistaxis, peritonsilar phlegmon, sudden hearing loss and swallowed foreign body. Major life-threatening emergencies requiring immediate transfer to the operating room and surgery accounted for 0.5% of the patients, i.e. one "vital" emergency every 5 days.
Emergency ENT care for adults is an important sector of hospital activity with a mean 38 consultations per day. However, only 10% of the consultation in the emergency unit appear to be real medical emergencies. Care for many of these patients could be appropriately provided by a general practitioner, pointing out the importance of education concerning ENT disorders. There was a homogeneous distribution between men and women for the different disease conditions, except for foreign bodies which occurred more frequently in women and epistaxis and facial trauma where men predominated. Life-threatening emergencies accounted for 0.5% of all cases, i.e. one case every 5 days.
研究拉里布瓦西埃医院（巴黎）成人耳鼻喉科急诊诊所（大监护室）运营的前18个月（1998年11月2日至2000年5月5日）患者的流行病学和临床特征，以确定对组织、住院治疗和教学的实际影响。
20563名成年患者前往耳鼻喉科急诊诊所就诊。其中1225人在接受急诊治疗后住院。分析的参数包括：年龄、性别、转诊至诊所的方式、到达时间和日期、地理来源、等待时间、初始症状以及遇到的病理情况。
导致前往急诊室就诊的最常见症状为：疼痛、突发性听力丧失、出血、吞食异物。最常见的鼻部症状是鼻出血，最常见的耳部疾病是急性外耳道和中耳中耳炎，最常见的咽部疾病是吞食异物。在1225名住院患者中，最常见的疾病是鼻出血、扁桃体周围蜂窝织炎、突发性听力丧失和吞食异物。需要立即转至手术室进行手术的重大危及生命的紧急情况占患者的0.5%，即每5天有一例“危及生命”的紧急情况。
成人耳鼻喉科急诊护理是医院活动的一个重要部门，平均每天有38次会诊。然而，急诊室的会诊中似乎只有10%是真正的医疗紧急情况。许多这类患者的护理可由全科医生适当提供，这凸显了耳鼻喉疾病教育的重要性。除了异物在女性中更常见，鼻出血和面部创伤男性占主导外，不同疾病状况在男性和女性之间分布均匀。危及生命的紧急情况占所有病例的0.5%，即每5天有一例。
