Stower M J, Hardcastle J D, Bourke J B
Ann R Coll Surg Engl. 1984 Mar;66(2):117-9.
The emergency surgical admissions to one firm during the year 1979 have been reviewed. Emergency cases constituted half the workload of this and other units in the hospital. Male and female admissions were equal. The under twenty year old was the largest age group admitted. The commonest diagnosis, non specific abdominal pain, was made in 22.9% of all the patients and acute appendicitis accounted for 11.1%, whilst the remainder fell into a large number of diagnostic categories with only a few patients in each. Only 30.2% of all the patients had an operation within 48 of admission. These figures suggest that surgical trainees may no longer gain the experience in managing acute admissions which was once possible and that any future training programmes must ensure wider exposure to surgical emergencies.
回顾了1979年一家医院的急诊外科入院情况。急诊病例占该医院及其他科室工作量的一半。男性和女性入院人数相等。20岁以下是入院人数最多的年龄组。最常见的诊断是非特异性腹痛，占所有患者的22.9%，急性阑尾炎占11.1%，其余则归入大量诊断类别，每个类别只有少数患者。所有患者中只有30.2%在入院后48小时内接受了手术。这些数据表明，外科实习生可能不再像过去那样获得处理急性入院病例的经验，未来任何培训计划都必须确保更广泛地接触外科急诊。
