Fernández Ruiz C, Trenchs Sainz de la Maza V, Curcoy Barcenilla A I, Lasuen del Olmo N, Luaces Cubells C
Sección de Urgencias, Servicio de Pediatría, Hospital Sant Joan de Déu, Universitat de Barcelona, Esplugues de Llobregat, Barcelona, España.
An Pediatr (Barc). 2006 Aug;65(2):123-8. doi: 10.1157/13091480.
To determinate the chief complaints in neonates presenting to a pediatric emergency service and their management.
We performed a retrospective study of patients younger than 28 days old who presented to the pediatric emergency department in 2003. Patients directly admitted to the neonatal unit and those attended by the surgery and orthopedic surgery departments were excluded. Information on sex, age, time and date, waiting time, visit duration, source of referral, presenting complaint, complementary examinations, final diagnosis, and hospital admission were analyzed.
There were 1,481 neonatal visits. The mean chronological age was 15.8 days and 57.3 % were boys. Visits were most frequent on Fridays, evening shifts, and in July and December. The most frequent chief complaints were crying/irritability (16.3 %), fever (13.6 %), vomiting (11 %), and influenza (10.8 %). The most frequent final diagnoses were feeding problems (12.6 %), infantile colic (12.4 %), and upper respiratory tract infections (12 %). No abnormalities were detected in 11.7 % of the patients and complementary examinations were not required in 45.9 %. The admission rate was 26 %, most commonly due to fever and bronchiolitis.
Many visits were due to minor problems that did not require complementary examinations and could have been resolved in primary care. Because of the greater vulnerability of this age group, thorough investigation is required to rule out severe disease. This phenomenon was reflected by the large number of complementary examinations and admissions.
确定到儿科急诊就诊的新生儿的主要症状及其处理方法。
我们对2003年到儿科急诊科就诊的28日龄以下患儿进行了一项回顾性研究。直接入住新生儿病房以及由外科和矫形外科诊治的患儿被排除。分析了有关性别、年龄、时间和日期、等待时间、就诊时长、转诊来源、主要症状、辅助检查、最终诊断及住院情况的信息。
共1481例新生儿就诊。实际平均年龄为15.8天，57.3%为男孩。周五、夜班以及7月和12月就诊最为频繁。最常见的主要症状为哭闹/易激惹（16.3%）、发热（13.6%）、呕吐（11%）和流感（10.8%）。最常见的最终诊断为喂养问题（12.6%）、婴儿腹绞痛（12.4%）和上呼吸道感染（12%）。11.7%的患儿未发现异常，45.9%的患儿无需辅助检查。住院率为26%，最常见原因是发热和细支气管炎。
许多就诊是由于一些小问题，无需辅助检查，在初级保健中即可解决。由于该年龄组更为脆弱，需要进行全面检查以排除严重疾病。这一现象体现在大量的辅助检查和住院情况上。
