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[麻醉门诊。两年经验后的麻醉前准备与治疗新概念(作者译)]

[The anaesthesia outpatient clinic. A new concept of preanaesthetic preparation and treatment after two years experiences (author's transl)].

作者信息

Dick W, Ahnefeld F W, Fricke M, Knoche E, Milewski P, Traub E

出版信息

Anaesthesist. 1978 Oct;27(10):450-8.

PMID:717745
Abstract

The anaesthesia outpatient clinic can be a new concept of preanaesthetic preparation and treatment. Related to the figures of 1977, a report is given about our 2-years experience. Patients from the usual outpatient clinics, like gynecology, urology, ENT, who are expected to be operated upon are immediately sent to the anaesthesia outpatient clinic for preanaesthetic check up. After the overall state of the patient has been examined, the original outpatient clinic and/or the family doctor are given information about the patients condition, and probably proposals for a preanaesthetic treatment are made. In 1977, 15% of all anaesthetized patients were checked as outpatients, another 40% were only examined after entering the hospital, whereas as few as 17% were not checked in the anaesthesic outpatient clinic. In patients, checked as outpatients, the period between the first day of hospitalisation and operation was evidently shorter than in patients, having been hospitalized at the time of preanaesthetic examination. This gives the opportunity to save money and beds. Furthermore, the anaesthesia outpatient clinic improves the organisation and efficiency of surgery, urology, gynecology etc., improves the relationship between patients and anaesthetists, decreases the risk of anaesthesia and operation, saves personnel and gives a qualified additional background for the purposes of graduation and student training.

摘要

麻醉门诊可以成为麻醉前准备和治疗的一种新概念。结合1977年的数据,给出了我们两年的经验报告。来自普通门诊(如妇科、泌尿科、耳鼻喉科)且预计要接受手术的患者会立即被送往麻醉门诊进行麻醉前检查。在对患者的整体状况进行检查后,会将患者的情况告知原来的门诊和/或家庭医生,并可能提出麻醉前治疗的建议。1977年,所有接受麻醉的患者中有15%作为门诊患者接受了检查,另外40%仅在入院后才接受检查,而在麻醉门诊未接受检查的患者仅占17%。作为门诊患者接受检查的患者,从住院第一天到手术的时间明显短于在麻醉前检查时已住院的患者。这提供了节省资金和床位的机会。此外,麻醉门诊改善了外科、泌尿科、妇科等的组织和效率,改善了患者与麻醉医生之间的关系,降低了麻醉和手术风险,节省了人力,并为毕业和学生培训提供了合格的额外背景。

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