Ning Xiao-Hong, Li Jia-Yi, Dai Xiao-Yan, Liu Qian, Shi Di, Zhao Xiao-Xuan, Li Jie, Wang Lei, Ge Nan, Qu Xuan, DU Tie-Kuan, Zhu Hua-Dong
Department of Geriatrics,PUMC Hospital, CAMS and PUMC,Beijing 100730,China.
Department of International Medical Services,PUMC Hospital, CAMS and PUMC,Beijing 100730,China.
Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 2022 Oct;44(5):763-767. doi: 10.3881/j.issn.1000-503X.15144.
Objective To summarize the palliative care consultations proposed by the Emergency Department of Peking Union Medical College Hospital. Methods A retrospective study was conducted on 22 palliative care consultations in the Emergency Department of Peking Union Medical College Hospital from January 2017 to June 2020. Results A total of 18 patients (6 males and 12 females) received palliative care consultations in the Emergency Department,with the average age of (65±8) years (36-88 years).Specifically,10 and 6 patients received once and twice consultations,respectively,and 2 patients did not complete the consultation.Of the patients receiving palliative care consultations,15 had malignant tumors and 3 had non-neoplastic diseases.The reasons for palliative care consultations included communication (61.1%,11/18) and pain relief (61.1%,11/18).In terms of the place of death,8 patients died in the hospital and 6 patients in other medical institutions. Conclusion There is a clear demand for palliative care consultation in the Emergency Department of Peking Union Medical College Hospital,and the consultation can bring help to both emergency doctors and patients.
目的 总结北京协和医院急诊科提出的姑息治疗会诊情况。方法 对2017年1月至2020年6月北京协和医院急诊科22例姑息治疗会诊进行回顾性研究。结果 急诊科共有18例患者（男6例，女12例）接受姑息治疗会诊，平均年龄（65±8）岁（36～88岁）。其中，10例和6例患者分别接受了1次和2次会诊，2例患者未完成会诊。接受姑息治疗会诊的患者中，15例患有恶性肿瘤，3例患有非肿瘤性疾病。姑息治疗会诊的原因包括沟通（61.1%，11/18）和缓解疼痛（61.1%，11/18）。在死亡地点方面，8例患者在医院死亡，6例患者在其他医疗机构死亡。结论 北京协和医院急诊科对姑息治疗会诊有明确需求，会诊可为急诊医生和患者带来帮助。
