Tönies H
Aus dem Zentrum für Allgemeinmedizin der Wiener Arztekammer.
Wien Med Wochenschr. 1988 Nov 15;138(21):539-45.
Which are the signs the emergency service uses most to initiate an urgent home visit? What degree of diagnostic certainty can be attained at the telephone? These questions were answered by a study of the Vienna emergency doctor's service, a General Practitioner deputizing service operating during all the nights and on weekend days. The 3 diagnostic items leading to an urgent visit most frequently after a phone call were angina, bronchial asthma and dyspnoea. The doctor at the telephone decides in favour of an urgent visit, if a symptom relates to a prevalently dangerous group of diseases; he follows these signs urgently when the time of the day frequently relates to dangerous diseases containing such a symptom. The decision to do an urgent house call is more often made up in terms of diagnoses than by mere symptoms.
急救服务最常用于启动紧急上门问诊的迹象有哪些？通过电话能达到何种诊断确定性？一项针对维也纳急救医生服务的研究回答了这些问题，该服务是一项在所有夜间和周末提供服务的全科医生代理服务。电话问诊后最常导致紧急出诊的3项诊断项目是心绞痛、支气管哮喘和呼吸困难。如果症状与一组普遍危险的疾病相关，电话医生会决定进行紧急出诊；当一天中的时间经常与包含此类症状的危险疾病相关时，他会紧急追踪这些迹象。决定进行紧急上门问诊更多是基于诊断而非仅仅依据症状。
