Nwako F A, Ejike O F, Obianyo N E
University of Nigeria Teaching hospital, (UNTH), Enugu, Nigeria.
West Afr J Med. 1996 Jul-Sep;15(3):149-54.
Selecting the right paediatric surgical patients for Day care Surgery is an important part of ensuring that the quality of medical care is preserved in this setting. The exponential growth of out-patient Surgery of the 1980's in the developing countries is such that in the quinqennium starting from 1995, perhaps more that 65% of all elective Surgery can be performed on an out-patient basis. This communication examines what adaptations are necessary, particularly in preparative screening and patient selection, to meet the demands of Day Care (ambulatory) Surgery in paediatric Surgical patients in a tertiary hospital facility. A ten-year experience (January 1980-December 1989) in the University of Nigeria Teaching Hospital (UNTH), Enugu, Nigeria is the basis of our review.
为日间手术挑选合适的小儿外科患者是确保在此环境下医疗质量得以维持的重要环节。20世纪80年代发展中国家门诊手术呈指数增长,以至于从1995年开始的五年里,或许超过65%的择期手术都可在门诊进行。本文探讨了需要做出哪些调整,尤其是在术前筛查和患者选择方面,以满足三级医院设施中儿科手术患者的日间(门诊)手术需求。我们的综述基于尼日利亚埃努古的尼日利亚大学教学医院(UNTH)十年(1980年1月至1989年12月)的经验。