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本文引用的文献

1
Risk of giving intravenous aminophylline to acutely ill patients receiving maintenance treatment with theophylline.
Br Med J (Clin Res Ed). 1984 Feb 11;288(6415):450. doi: 10.1136/bmj.288.6415.450.
2
Butchers and their femoral arteries.屠夫及其股动脉。
Lancet. 1983 Nov 19;2(8360):1197. doi: 10.1016/s0140-6736(83)91247-3.
3
Dangers of compound drugs and intravenous aminophylline.复方药物及静脉注射氨茶碱的风险
Lancet. 1982 Nov 27;2(8309):1228. doi: 10.1016/s0140-6736(82)91259-4.

哪些患者可能在急诊部门死亡？

Which patients are likely to die in an accident and emergency department?

作者信息

Shalley M J, Cross A B

出版信息

Br Med J (Clin Res Ed). 1984 Aug 18;289(6442):419-21. doi: 10.1136/bmj.289.6442.419.

DOI:10.1136/bmj.289.6442.419
PMID:6432126
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1442421/
Abstract

Four hundred and eighty-eight deaths occurring in an accident and emergency department over five years were analysed. Their causes were categorised as medical, surgical, or traumatic. Medical causes accounted for 87% of the deaths, of which 60% were from cardiac conditions. Blood loss was an important factor in over half the deaths from surgical and traumatic causes. Lives might have been saved by considering infectious disease in patients with medical conditions and by undertaking more rapid blood transfusion, earlier chest drainage, and lateral cervical spine x rays in appropriate surgical or traumatic cases. The admission to casualty departments of people with terminal neoplasms should be discouraged. The management of medical emergencies should be emphasised when training accident and emergency department staff.

摘要

对某急诊科五年内发生的488例死亡病例进行了分析。其死因分为内科、外科或外伤。内科原因占死亡病例的87%，其中60%死于心脏疾病。失血是超过一半外科和外伤致死病例中的一个重要因素。对于内科疾病患者考虑感染性疾病，以及在适当的外科或外伤病例中更快速地输血、更早地进行胸腔引流和颈椎侧位X光检查，可能挽救生命。应不鼓励晚期肿瘤患者入住急诊部。在培训急诊科工作人员时应强调对医疗急症的处理。