Pennycook A, Makower R, Brewer A, Moulton C, Crawford R
Glasgow Royal Infirmary, Scotland, UK.
J R Soc Med. 1993 Dec;86(12):702-3. doi: 10.1177/014107689308601210.
Patients with dental diagnoses, not necessarily traumatic, often present to accident and emergency departments and general medical practitioners. Few doctors have received much, if any, education in the management of these patients. A 6 month prospective study revealed 107 patients (0.3% of new attenders) attending the accident and emergency department of Glasgow Royal Infirmary. Only 19 of these had suffered trauma. Medical staff in the department were only rarely able to make any diagnosis, and management of these patients took place on an empirical, symptomatic basis. Management could be improved by better education of medical students and doctors. Use of an algorithm may be appropriate.
患有牙科疾病(不一定是外伤所致)的患者常常前往急诊部门和普通科医生处就诊。很少有医生接受过关于这些患者管理方面的充分教育(如果有的话)。一项为期6个月的前瞻性研究显示,有107名患者(占新就诊者的0.3%)前往格拉斯哥皇家医院急诊科就诊。其中只有19人受过外伤。该科室的医务人员很少能够做出任何诊断,对这些患者的处理是基于经验和症状进行的。通过对医学生和医生进行更好的教育,处理方式可以得到改善。使用一种算法可能是合适的。